16D2144037 CLIA NUMBER - WALMART PHARMACY 10- 0581

Laboratory Demographics

  • CLIA Code: 16D2144037
  • Facility Name: WALMART PHARMACY 10- 0581
  • Facility Address: 2802 S CENTER STREET
    MARSHALLTOWN, IA
    ZIP 50158
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHERINE DEYOE
  • NPI Number: 1740207133
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2144037
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 0581
Street 2802 S CENTER STREET
City MARSHALLTOWN
State IA
ZIP 50158
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 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Pharmacy
Lab Director KATHERINE DEYOE

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