17D2159931 CLIA NUMBER - WALMART PHARMACY 10-2428

Laboratory Demographics

  • CLIA Code: 17D2159931
  • Facility Name: WALMART PHARMACY 10-2428
  • Facility Address: 1701 S KANSAS AVE
    NEWTON, KS
    ZIP 67114
  • Facility Phone: 316 284-2333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARA A. WILLIS
  • NPI Number: 1285651695
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2159931
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2428
Street 1701 S KANSAS AVE
City NEWTON
State KS
ZIP 67114
Phone 316 284-2333
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 KARA A. WILLIS

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