15D2146285 CLIA NUMBER - WALMART PHARMACY #10-1728

Laboratory Demographics

  • CLIA Code: 15D2146285
  • Facility Name: WALMART PHARMACY #10-1728
  • Facility Address: 2321 CHARLES ST
    ANDERSON, IN
    ZIP 46013
  • Facility Phone: 765 642-5025
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAITLIN FROST
  • NPI Number: 1164504080
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2146285
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1728
Street 2321 CHARLES ST
City ANDERSON
State IN
ZIP 46013
Phone 765 642-5025
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 KAITLIN FROST

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