17D2159097 CLIA NUMBER - WALMART PHARMACY 10-5990

Laboratory Demographics

  • CLIA Code: 17D2159097
  • Facility Name: WALMART PHARMACY 10-5990
  • Facility Address: 2111 N AMIDON AVE
    WICHITA, KS
    ZIP 67203
  • Facility Phone: 316 831-9567
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH B. SCHWYHART
  • NPI Number: 1700169075
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2159097
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5990
Street 2111 N AMIDON AVE
City WICHITA
State KS
ZIP 67203
Phone 316 831-9567
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Pharmacy
Lab Director SARAH B. SCHWYHART

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