16D2144445 CLIA NUMBER - WALMART PHARMACY 10-1764

Laboratory Demographics

  • CLIA Code: 16D2144445
  • Facility Name: WALMART PHARMACY 10-1764
  • Facility Address: 1001 73RD ST
    WINDSOR HEIGHTS, IA
    ZIP 50324
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA K. WALKER
  • NPI Number: 1639196017
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2144445
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1764
Street 1001 73RD ST
City WINDSOR HEIGHTS
State IA
ZIP 50324
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 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Pharmacy
Lab Director LISA K. WALKER

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