17D2159932 CLIA NUMBER - WALMART PHARMACY 10-186

Laboratory Demographics

  • CLIA Code: 17D2159932
  • Facility Name: WALMART PHARMACY 10-186
  • Facility Address: 301 S VILLAGE RD
    EL DORADO, KS
    ZIP 67042
  • Facility Phone: 316 322-8901
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CATHRYN J. YEUBANKS
  • NPI Number: 1821015231
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2159932
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-186
Street 301 S VILLAGE RD
City EL DORADO
State KS
ZIP 67042
Phone 316 322-8901
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 CATHRYN J. YEUBANKS

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