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17D2158982 CLIA NUMBER - WALMART PHARMACY 3273

Laboratory Demographics

CLIA Number: 17D2158982

Facility Name: WALMART PHARMACY 3273

Facility Address:
15700 METCALF AVE
OVERLAND PARK, KS
ZIP 66223
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Facility Phone Number: 913 685-7493

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1649297060

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 17D2158982
LAB Type Pharmacy
Facility Name WALMART PHARMACY 3273
Street 15700 METCALF AVE
City OVERLAND PARK
State KS
ZIP 66223
Phone 913 685-7493
CertificateType 4
CertificateEffectiveDate 12/11/2022
CertificateExpirationDate 12/10/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024