17D2123326 CLIA NUMBER - WALMART PHARMACY 10-978

Laboratory Demographics

  • CLIA Code: 17D2123326
  • Facility Name: WALMART PHARMACY 10-978
  • Facility Address: 2701 N SUMMIT ST
    ARKANSAS CITY, KS
    ZIP 67005
  • Facility Phone: 620 442-2051
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERICA C. BARKER
  • NPI Number: 1518984020
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2123326
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-978
Street 2701 N SUMMIT ST
City ARKANSAS CITY
State KS
ZIP 67005
Phone 620 442-2051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Pharmacy
Lab Director ERICA C. BARKER

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