17D2167049 CLIA NUMBER - WALMART PHARMACY 10-35

Laboratory Demographics

  • CLIA Code: 17D2167049
  • Facility Name: WALMART PHARMACY 10-35
  • Facility Address: 101 BLUEMONT AVE
    MANHATTAN, KS
    ZIP 66502
  • Facility Phone: (785) 776-4841
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANELLE WOODARD
  • NPI Number: 1467479865
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2167049
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-35
Street 101 BLUEMONT AVE
City MANHATTAN
State KS
ZIP 66502
Phone 7857764841
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 DANELLE WOODARD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026