17D2159622 CLIA NUMBER - WALMART PHARMACY 10-6585

Laboratory Demographics

  • CLIA Code: 17D2159622
  • Facility Name: WALMART PHARMACY 10-6585
  • Facility Address: 335 SW MACVICAR AVENUE
    TOPEKA, KS
    ZIP 66608
  • Facility Phone: 785 379-2341
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIMON P. DEL RIO
  • NPI Number: 1437555232
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2159622
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-6585
Street 335 SW MACVICAR AVENUE
City TOPEKA
State KS
ZIP 66608
Phone 785 379-2341
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 LIMON P. DEL RIO

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