16D2128866 CLIA NUMBER - WALMART PHARMACY 10-1506

Laboratory Demographics

  • CLIA Code: 16D2128866
  • Facility Name: WALMART PHARMACY 10-1506
  • Facility Address: 1220 W MAIN ST
    MANCHESTER, IA
    ZIP 52057
  • Facility Phone: 563 927-4988
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADAM SMITH
  • NPI Number: 1912924390
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2128866
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1506
Street 1220 W MAIN ST
City MANCHESTER
State IA
ZIP 52057
Phone 563 927-4988
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 ADAM SMITH

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