15D2146281 CLIA NUMBER - WALMART PHARMACY #10-1629

Laboratory Demographics

  • CLIA Code: 15D2146281
  • Facility Name: WALMART PHARMACY #10-1629
  • Facility Address: 2150 E NATIONAL AVE
    BRAZIL, IN
    ZIP 47834
  • Facility Phone: (812) 443-0466
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY SWEARINGEN
  • NPI Number: 1831116045
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2146281
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1629
Street 2150 E NATIONAL AVE
City BRAZIL
State IN
ZIP 47834
Phone 8124430466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2026
Certificate Expiration Date 3/26/2028
Facility Type Pharmacy
Lab Director ASHLEY SWEARINGEN

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This page was last updated on: 5/18/2026