17D2167045 CLIA NUMBER - WALMART PHARMACY 10-558

Laboratory Demographics

  • CLIA Code: 17D2167045
  • Facility Name: WALMART PHARMACY 10-558
  • Facility Address: 2900 S 9TH ST
    SALINA, KS
    ZIP 67401
  • Facility Phone: 785 825-4449
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAREN KOBS
  • NPI Number: 1821015223
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2167045
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-558
Street 2900 S 9TH ST
City SALINA
State KS
ZIP 67401
Phone 785 825-4449
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 KAREN KOBS

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