17D2159133 CLIA NUMBER - WALMART PHARMACY 00043

Laboratory Demographics

  • CLIA Code: 17D2159133
  • Facility Name: WALMART PHARMACY 00043
  • Facility Address: 521 E CHESTNUT ST
    JUNCTION CITY, KS
    ZIP 66441
  • Facility Phone: 785 238-1118
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN D. CLYDE
  • NPI Number: 1649297052
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2159133
LAB Type Pharmacy
Facility Name WALMART PHARMACY 00043
Street 521 E CHESTNUT ST
City JUNCTION CITY
State KS
ZIP 66441
Phone 785 238-1118
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 JOHN D. CLYDE

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