15D2146336 CLIA NUMBER - WALMART PHARMACY #10-1962

Laboratory Demographics

  • CLIA Code: 15D2146336
  • Facility Name: WALMART PHARMACY #10-1962
  • Facility Address: 1920 E MARKLAND AVE
    KOKOMO, IN
    ZIP 46901
  • Facility Phone: 765 456-3550
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH SCHIFF
  • NPI Number: 1942383583
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2146336
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1962
Street 1920 E MARKLAND AVE
City KOKOMO
State IN
ZIP 46901
Phone 765 456-3550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Pharmacy
Lab Director ELIZABETH SCHIFF

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