17D2158993 CLIA NUMBER - WALMART PHARMACY 10-5991

Laboratory Demographics

  • CLIA Code: 17D2158993
  • Facility Name: WALMART PHARMACY 10-5991
  • Facility Address: 3137 S SENECA ST
    WICHITA, KS
    ZIP 67217
  • Facility Phone: (316) 361-3351
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAT NGO
  • NPI Number: 1932480563
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2158993
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5991
Street 3137 S SENECA ST
City WICHITA
State KS
ZIP 67217
Phone 3163613351
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 DAT NGO

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This page was last updated on: 5/18/2026