15D2146298 CLIA NUMBER - WALMART PHARMACY #10-3435

Laboratory Demographics

  • CLIA Code: 15D2146298
  • Facility Name: WALMART PHARMACY #10-3435
  • Facility Address: 1133 NO EMERSON RD
    GREENWOOD, IN
    ZIP 46143
  • Facility Phone: 317 885-9059
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHERI BETHURAM
  • NPI Number: 1194742569
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2146298
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3435
Street 1133 NO EMERSON RD
City GREENWOOD
State IN
ZIP 46143
Phone 317 885-9059
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 CHERI BETHURAM

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