15D2146288 CLIA NUMBER - WALMART PHARMACY #10-2388

Laboratory Demographics

  • CLIA Code: 15D2146288
  • Facility Name: WALMART PHARMACY #10-2388
  • Facility Address: 950 W VOTAW ST
    PORTLAND, IN
    ZIP 47371
  • Facility Phone: 260 726-3682
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRITTANY PAYNE
  • NPI Number: 1861574006
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2146288
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2388
Street 950 W VOTAW ST
City PORTLAND
State IN
ZIP 47371
Phone 260 726-3682
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 BRITTANY PAYNE

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