15D2146355 CLIA NUMBER - WALMART PHARMACY #10-5728

Laboratory Demographics

  • CLIA Code: 15D2146355
  • Facility Name: WALMART PHARMACY #10-5728
  • Facility Address: 8599 HIGH POINTE DR
    NEWBURGH, IN
    ZIP 47630
  • Facility Phone: 812 842-2361
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN CHASSEUR
  • NPI Number: 1053796508
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2146355
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5728
Street 8599 HIGH POINTE DR
City NEWBURGH
State IN
ZIP 47630
Phone 812 842-2361
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 RYAN CHASSEUR

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