16D2130656 CLIA NUMBER - WALMART PHARMACY 10-1361

Laboratory Demographics

  • CLIA Code: 16D2130656
  • Facility Name: WALMART PHARMACY 10-1361
  • Facility Address: 3400 SINGING HILLS BLVD
    SIOUX CITY, IA
    ZIP 51106
  • Facility Phone: 712 252-4905
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAT M. NGUYEN
  • NPI Number: 1922025303
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2130656
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1361
Street 3400 SINGING HILLS BLVD
City SIOUX CITY
State IA
ZIP 51106
Phone 712 252-4905
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 DAT M. NGUYEN

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