17D2167055 CLIA NUMBER - WALMART PHARMACY 10-3103

Laboratory Demographics

  • CLIA Code: 17D2167055
  • Facility Name: WALMART PHARMACY 10-3103
  • Facility Address: 18631 W KELLOGG DR
    GODDARD, KS
    ZIP 67052
  • Facility Phone: 316 347-2098
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CATHERINE E. SCHMEIDLER
  • NPI Number: 1902150998
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2167055
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3103
Street 18631 W KELLOGG DR
City GODDARD
State KS
ZIP 67052
Phone 316 347-2098
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 CATHERINE E. SCHMEIDLER

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