17D2123145 CLIA NUMBER - WALMART PHARMACY #0993

Laboratory Demographics

  • CLIA Code: 17D2123145
  • Facility Name: WALMART PHARMACY #0993
  • Facility Address: 205 S CENTENNIAL DR
    MCPHERSON, KS
    ZIP 67460
  • Facility Phone: 620 241-0941
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIE A. EDIGER
  • NPI Number: 1831116235
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2123145
LAB Type Pharmacy
Facility Name WALMART PHARMACY #0993
Street 205 S CENTENNIAL DR
City MCPHERSON
State KS
ZIP 67460
Phone 620 241-0941
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Pharmacy
Lab Director JULIE A. EDIGER

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