17D2167052 CLIA NUMBER - WALMART PHARMACY

Laboratory Demographics

  • CLIA Code: 17D2167052
  • Facility Name: WALMART PHARMACY
  • Facility Address: 4701 MISSION RD
    WESTWOOD, KS
    ZIP 66205
  • Facility Phone: 913 563-1758
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREA C. CHERRY
  • NPI Number: 1326487463
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2167052
LAB Type Pharmacy
Facility Name WALMART PHARMACY
Street 4701 MISSION RD
City WESTWOOD
State KS
ZIP 66205
Phone 913 563-1758
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 ANDREA C. CHERRY

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