15D2146306 CLIA NUMBER - WALMART PHARMACY #10-1729

Laboratory Demographics

  • CLIA Code: 15D2146306
  • Facility Name: WALMART PHARMACY #10-1729
  • Facility Address: 4200 WESTERN AVE
    CONNERSVILLE, IN
    ZIP 47331
  • Facility Phone: 765 827-1255
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW BILLS
  • NPI Number: 1437534971
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2146306
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1729
Street 4200 WESTERN AVE
City CONNERSVILLE
State IN
ZIP 47331
Phone 765 827-1255
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 MATTHEW BILLS

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