16D2126066 CLIA NUMBER - WALMART PHARMACY 10-2004

Laboratory Demographics

  • CLIA Code: 16D2126066
  • Facility Name: WALMART PHARMACY 10-2004
  • Facility Address: 4200 DODGE STREET
    DUBUQUE, IA
    ZIP 52003
  • Facility Phone: 563 582-1519
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CRYSTAL SMITH
  • NPI Number: 1568489953
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2126066
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2004
Street 4200 DODGE STREET
City DUBUQUE
State IA
ZIP 52003
Phone 563 582-1519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Pharmacy
Lab Director CRYSTAL SMITH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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