17D2158990 CLIA NUMBER - WALMART PHARMACY 10-4611

Laboratory Demographics

  • CLIA Code: 17D2158990
  • Facility Name: WALMART PHARMACY 10-4611
  • Facility Address: 5701 SILVERHEEL STREET
    SHAWNEE, KS
    ZIP 66226
  • Facility Phone: 913 535-5122
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN WAY
  • NPI Number: 1285068619
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2158990
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4611
Street 5701 SILVERHEEL STREET
City SHAWNEE
State KS
ZIP 66226
Phone 913 535-5122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Pharmacy
Lab Director MEGAN WAY

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