16D2123429 CLIA NUMBER - WALMART PHARMACY 10-1005

Laboratory Demographics

  • CLIA Code: 16D2123429
  • Facility Name: WALMART PHARMACY 10-1005
  • Facility Address: 2700 4TH ST SW
    WAVERLY, IA
    ZIP 50677
  • Facility Phone: 319 352-2735
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYLEEN SCHULTE
  • NPI Number: 1487671863
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2123429
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1005
Street 2700 4TH ST SW
City WAVERLY
State IA
ZIP 50677
Phone 319 352-2735
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Pharmacy
Lab Director KAYLEEN SCHULTE

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