16D2128870 CLIA NUMBER - WALMART PHARMACY 10-0892

Laboratory Demographics

  • CLIA Code: 16D2128870
  • Facility Name: WALMART PHARMACY 10-0892
  • Facility Address: 1002 SE NATIONAL DR
    ANKENY, IA
    ZIP 50021
  • Facility Phone: 515 964-3992
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER HANDLEY
  • NPI Number: 1750308136
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2128870
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0892
Street 1002 SE NATIONAL DR
City ANKENY
State IA
ZIP 50021
Phone 515 964-3992
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 JENNIFER HANDLEY

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