17D2159101 CLIA NUMBER - WALMART PHARMACY 10-242

Laboratory Demographics

  • CLIA Code: 17D2159101
  • Facility Name: WALMART PHARMACY 10-242
  • Facility Address: 310 HEDGE LN
    PAOLA, KS
    ZIP 66071
  • Facility Phone: 913 294-5777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEBBIE A. JONES
  • NPI Number: 1730106147
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2159101
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-242
Street 310 HEDGE LN
City PAOLA
State KS
ZIP 66071
Phone 913 294-5777
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 DEBBIE A. JONES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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