15D2146362 CLIA NUMBER - WALMART PHARMACY #10-1745

Laboratory Demographics

  • CLIA Code: 15D2146362
  • Facility Name: WALMART PHARMACY #10-1745
  • Facility Address: 3601 E MAIN ST
    RICHMOND, IN
    ZIP 47374
  • Facility Phone: 765 965-5387
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAUNA BRAGG
  • NPI Number: 1508948746
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2146362
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1745
Street 3601 E MAIN ST
City RICHMOND
State IN
ZIP 47374
Phone 765 965-5387
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 BRIAUNA BRAGG

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