Healther Providers Data Logo

16D2143696 CLIA NUMBER - WALMART PHARMACY 10-1526

Laboratory Demographics

CLIA Number: 16D2143696

Facility Name: WALMART PHARMACY 10-1526

Facility Address:
1831 N LAKE AVE
STORM LAKE, IA
ZIP 50588
Get Directions

Facility Phone Number: 479 277-2374

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1477570851

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 16D2143696
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1526
Street 1831 N LAKE AVE
City STORM LAKE
State IA
ZIP 50588
Phone 479 277-2374
CertificateType 4
CertificateEffectiveDate 2/5/2024
CertificateExpirationDate 2/4/2026
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024