15D2146291 CLIA NUMBER - WALMART PHARMACY #10-1576

Laboratory Demographics

  • CLIA Code: 15D2146291
  • Facility Name: WALMART PHARMACY #10-1576
  • Facility Address: 1555 US HIGHWAY 41
    SCHERERVILLE, IN
    ZIP 46375
  • Facility Phone: 219 865-6309
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE COPAK
  • NPI Number: 1467534388
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2146291
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1576
Street 1555 US HIGHWAY 41
City SCHERERVILLE
State IN
ZIP 46375
Phone 219 865-6309
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 DANIELLE COPAK

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