17D2159924 CLIA NUMBER - WALMART PHARMACY 1507

Laboratory Demographics

  • CLIA Code: 17D2159924
  • Facility Name: WALMART PHARMACY 1507
  • Facility Address: 3030 N ROCK RD
    WICHITA, KS
    ZIP 67226
  • Facility Phone: 316 636-5384
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA NGUYEN
  • NPI Number: 1558388959
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2159924
LAB Type Pharmacy
Facility Name WALMART PHARMACY 1507
Street 3030 N ROCK RD
City WICHITA
State KS
ZIP 67226
Phone 316 636-5384
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Pharmacy
Lab Director MELISSA NGUYEN

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