15D2146621 CLIA NUMBER - WALMART PHARMACY #10-1518

Laboratory Demographics

  • CLIA Code: 15D2146621
  • Facility Name: WALMART PHARMACY #10-1518
  • Facility Address: 3221 W 86TH ST
    INDIANAPOLIS, IN
    ZIP 46268
  • Facility Phone: 317 875-0273
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CYLE COBB
  • NPI Number: 1194807396
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2146621
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1518
Street 3221 W 86TH ST
City INDIANAPOLIS
State IN
ZIP 46268
Phone 317 875-0273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Pharmacy
Lab Director CYLE COBB

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