15D2146338 CLIA NUMBER - WALMART PHARMACY #10-1783

Laboratory Demographics

  • CLIA Code: 15D2146338
  • Facility Name: WALMART PHARMACY #10-1783
  • Facility Address: 2700 W BROADWAY ST
    PRINCETON, IN
    ZIP 47670
  • Facility Phone: 812 386-6620
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHAEL SCHMITT
  • NPI Number: 1477722171
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 15D2146338
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1783
Street 2700 W BROADWAY ST
City PRINCETON
State IN
ZIP 47670
Phone 812 386-6620
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 RACHAEL SCHMITT

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