16D2143701 CLIA NUMBER - WALMART PHARMACY 10-646

Laboratory Demographics

  • CLIA Code: 16D2143701
  • Facility Name: WALMART PHARMACY 10-646
  • Facility Address: 101 115TH ST
    ANAMOSA, IA
    ZIP 52205
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE BERNS
  • NPI Number: 1821015298
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2143701
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-646
Street 101 115TH ST
City ANAMOSA
State IA
ZIP 52205
Phone 479 277-2374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Pharmacy
Lab Director STEPHANIE BERNS

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