16D2130659 CLIA NUMBER - WALMART PHARMACY 10-1509

Laboratory Demographics

  • CLIA Code: 16D2130659
  • Facility Name: WALMART PHARMACY 10-1509
  • Facility Address: 103 E CARLISLE
    MAQUOKETA, IA
    ZIP 52060
  • Facility Phone: 563 652-6733
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEANNE R. WILLIAMS
  • NPI Number: 1821015207
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2130659
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1509
Street 103 E CARLISLE
City MAQUOKETA
State IA
ZIP 52060
Phone 563 652-6733
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 LEANNE R. WILLIAMS

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