16D2128871 CLIA NUMBER - WALMART PHARMACY 10-1475

Laboratory Demographics

  • CLIA Code: 16D2128871
  • Facility Name: WALMART PHARMACY 10-1475
  • Facility Address: 2485 HIGHWAY 92
    WASHINGTON, IA
    ZIP 52353
  • Facility Phone: 319 653-7218
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNA M. PERRY
  • NPI Number: 1386661767
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2128871
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1475
Street 2485 HIGHWAY 92
City WASHINGTON
State IA
ZIP 52353
Phone 319 653-7218
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 JENNA M. PERRY

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