17D2159365 CLIA NUMBER - WALMART PHARMACY 10-1214

Laboratory Demographics

  • CLIA Code: 17D2159365
  • Facility Name: WALMART PHARMACY 10-1214
  • Facility Address: 115 W WILLOW ST
    COLBY, KS
    ZIP 67701
  • Facility Phone: 785 462-8651
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRYAN BREWER
  • NPI Number: 1942227475
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2159365
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1214
Street 115 W WILLOW ST
City COLBY
State KS
ZIP 67701
Phone 785 462-8651
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Pharmacy
Lab Director BRYAN BREWER

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