17D2159621 CLIA NUMBER - WALMART PHARMACY #370

Laboratory Demographics

  • CLIA Code: 17D2159621
  • Facility Name: WALMART PHARMACY #370
  • Facility Address: 2022 E 16TH ST
    WELLINGTON, KS
    ZIP 67152
  • Facility Phone: 620 326-3321
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRADY ROHR
  • NPI Number: 1457378853
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2159621
LAB Type Pharmacy
Facility Name WALMART PHARMACY #370
Street 2022 E 16TH ST
City WELLINGTON
State KS
ZIP 67152
Phone 620 326-3321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Pharmacy
Lab Director BRADY ROHR

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