16D2130645 CLIA NUMBER - WALMART PHARMACY 10-0985

Laboratory Demographics

  • CLIA Code: 16D2130645
  • Facility Name: WALMART PHARMACY 10-0985
  • Facility Address: 2701 W BURLINGTON AVE
    FAIRFIELD, IA
    ZIP 52556
  • Facility Phone: 641 472-6199
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THAO L. HOANG
  • NPI Number: 1578580957
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2130645
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0985
Street 2701 W BURLINGTON AVE
City FAIRFIELD
State IA
ZIP 52556
Phone 641 472-6199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Pharmacy
Lab Director THAO L. HOANG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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