15D2146297 CLIA NUMBER - WALMART PHARMACY #10-4417

Laboratory Demographics

  • CLIA Code: 15D2146297
  • Facility Name: WALMART PHARMACY #10-4417
  • Facility Address: 8191 UPLAND WAY
    CAMBY, IN
    ZIP 46113
  • Facility Phone: 317 856-5748
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JORDAN GIPE
  • NPI Number: 1912183344
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2146297
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-4417
Street 8191 UPLAND WAY
City CAMBY
State IN
ZIP 46113
Phone 317 856-5748
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 JORDAN GIPE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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