16D2130655 CLIA NUMBER - WALMART PHARMACY 10-1431

Laboratory Demographics

  • CLIA Code: 16D2130655
  • Facility Name: WALMART PHARMACY 10-1431
  • Facility Address: 300 N PARK DRIVE
    KEOKUK, IA
    ZIP 52632
  • Facility Phone: 319 524-4071
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARA HOLVOET

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CLIA Record

Field Name Field Value
CLIA Number 16D2130655
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1431
Street 300 N PARK DRIVE
City KEOKUK
State IA
ZIP 52632
Phone 319 524-4071
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 SARA HOLVOET

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