15D2146336 CLIA NUMBER - WALMART PHARMACY #10-1962

Laboratory Demographics

CLIA Number: 15D2146336

Facility Name: WALMART PHARMACY #10-1962

Facility Address:
1920 E MARKLAND AVE
KOKOMO, IN
ZIP 46901
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Facility Phone Number: 765 456-3550

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1942383583

Taxonomy: 156FX1800X - Technician/Technologist
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

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
CertificateType	4
CertificateEffectiveDate	3/28/2024
CertificateExpirationDate	3/27/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024