17D2159145 CLIA NUMBER - WALMART PHARMACY 10-2131

Laboratory Demographics

  • CLIA Code: 17D2159145
  • Facility Name: WALMART PHARMACY 10-2131
  • Facility Address: 1301 SW 37TH ST
    TOPEKA, KS
    ZIP 66611
  • Facility Phone: 785 267-6900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAHALA BRANSON
  • NPI Number: 1558388967
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2159145
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2131
Street 1301 SW 37TH ST
City TOPEKA
State KS
ZIP 66611
Phone 785 267-6900
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 MAHALA BRANSON

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