15D2146356 CLIA NUMBER - WALMART PHARMACY #10-6476

Laboratory Demographics

  • CLIA Code: 15D2146356
  • Facility Name: WALMART PHARMACY #10-6476
  • Facility Address: 1894 RIDGE AVENUE
    DANVILLE, IN
    ZIP 46122
  • Facility Phone: 317 745-3144
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DIPTI M. DESAI
  • NPI Number: 1598136111
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2146356
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-6476
Street 1894 RIDGE AVENUE
City DANVILLE
State IN
ZIP 46122
Phone 317 745-3144
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 DIPTI M. DESAI

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