16D2128872 CLIA NUMBER - WALMART PHARMACY 10-1787

Laboratory Demographics

  • CLIA Code: 16D2128872
  • Facility Name: WALMART PHARMACY 10-1787
  • Facility Address: 2014 KITTYHAWK RD
    CARROLL, IA
    ZIP 51401
  • Facility Phone: 712 792-3033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN COREY
  • NPI Number: 1831116227
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2128872
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1787
Street 2014 KITTYHAWK RD
City CARROLL
State IA
ZIP 51401
Phone 712 792-3033
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 MEGAN COREY

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This page was last updated on: 6/4/2025