15D2146283 CLIA NUMBER - WALMART PHARMACY #10-1665

Laboratory Demographics

  • CLIA Code: 15D2146283
  • Facility Name: WALMART PHARMACY #10-1665
  • Facility Address: 4801 W CLARA LN
    MUNCIE, IN
    ZIP 47304
  • Facility Phone: 765 284-7181
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY HENSON
  • NPI Number: 1841372075
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2146283
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1665
Street 4801 W CLARA LN
City MUNCIE
State IN
ZIP 47304
Phone 765 284-7181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Pharmacy
Lab Director KIMBERLY HENSON

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This page was last updated on: 9/29/2025