15D2161037 CLIA NUMBER - WALMART PHARMACY #10-5443

Laboratory Demographics

  • CLIA Code: 15D2161037
  • Facility Name: WALMART PHARMACY #10-5443
  • Facility Address: 4650 S EMERSON AVE
    INDIANAPOLIS, IN
    ZIP 46203
  • Facility Phone: 317 783-1484
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE L. COLEMAN
  • NPI Number: 1477570844
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2161037
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5443
Street 4650 S EMERSON AVE
City INDIANAPOLIS
State IN
ZIP 46203
Phone 317 783-1484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Pharmacy
Lab Director DANIELLE L. COLEMAN

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