16D2128860 CLIA NUMBER - WALMART PHARMACY 10-1723

Laboratory Demographics

  • CLIA Code: 16D2128860
  • Facility Name: WALMART PHARMACY 10-1723
  • Facility Address: 5101 SE 14TH ST
    DES MOINES, IA
    ZIP 50320
  • Facility Phone: 515 287-7748
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NAJRA SPIOPIC
  • NPI Number: 1720005101
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2128860
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1723
Street 5101 SE 14TH ST
City DES MOINES
State IA
ZIP 50320
Phone 515 287-7748
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Pharmacy
Lab Director NAJRA SPIOPIC

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