17D2167042 CLIA NUMBER - WALMART PHARMACY #557

Laboratory Demographics

  • CLIA Code: 17D2167042
  • Facility Name: WALMART PHARMACY #557
  • Facility Address: 2301 INDUSTRIAL RD
    EMPORIA, KS
    ZIP 66801
  • Facility Phone: 620 342-7711
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAMON C. LANG
  • NPI Number: 1457378846
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2167042
LAB Type Pharmacy
Facility Name WALMART PHARMACY #557
Street 2301 INDUSTRIAL RD
City EMPORIA
State KS
ZIP 66801
Phone 620 342-7711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Pharmacy
Lab Director DAMON C. LANG

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