15D2146300 CLIA NUMBER - WALMART PHARMACY #10-5372

Laboratory Demographics

  • CLIA Code: 15D2146300
  • Facility Name: WALMART PHARMACY #10-5372
  • Facility Address: 3430 TAYLOR AVE
    EVANSVILLE, IN
    ZIP 47714
  • Facility Phone: 812 471-4243
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CALEB WEHKING
  • NPI Number: 1922025394
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2146300
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5372
Street 3430 TAYLOR AVE
City EVANSVILLE
State IN
ZIP 47714
Phone 812 471-4243
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 CALEB WEHKING

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