17D2159928 CLIA NUMBER - WALMART PHARMACY 10-346

Laboratory Demographics

  • CLIA Code: 17D2159928
  • Facility Name: WALMART PHARMACY 10-346
  • Facility Address: 719 W 7TH AVE
    AUGUSTA, KS
    ZIP 67010
  • Facility Phone: 316 775-1168
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANNAH L. HENDRICKS
  • NPI Number: 1912924317
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2159928
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-346
Street 719 W 7TH AVE
City AUGUSTA
State KS
ZIP 67010
Phone 316 775-1168
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 HANNAH L. HENDRICKS

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