16D2144474 CLIA NUMBER - WALMART PHARMACY 10-3630

Laboratory Demographics

  • CLIA Code: 16D2144474
  • Facility Name: WALMART PHARMACY 10-3630
  • Facility Address: 5491 HIGHWAY 151
    MARION, IA
    ZIP 52302
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RENEE L. POTTS
  • NPI Number: 1639196132
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2144474
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3630
Street 5491 HIGHWAY 151
City MARION
State IA
ZIP 52302
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 RENEE L. POTTS

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This page was last updated on: 6/4/2025