24D2097703 CLIA NUMBER - WALMART PHARMACY 10-5089

Laboratory Demographics

  • CLIA Code: 24D2097703
  • Facility Name: WALMART PHARMACY 10-5089
  • Facility Address: 9165 CAHILL AVE
    INVER GROVE HEIGHTS, MN
    ZIP 55076
  • Facility Phone: 651 451-7860
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE WILLIAMS
  • NPI Number: 1265459663
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2097703
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5089
Street 9165 CAHILL AVE
City INVER GROVE HEIGHTS
State MN
ZIP 55076
Phone 651 451-7860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Pharmacy
Lab Director ANNE WILLIAMS

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