24D2097706 CLIA NUMBER - WALMART PHARMACY 10-1472

Laboratory Demographics

  • CLIA Code: 24D2097706
  • Facility Name: WALMART PHARMACY 10-1472
  • Facility Address: 1752 NORTH FRONTAGE
    HASTINGS, MN
    ZIP 55033
  • Facility Phone: 651 438-3030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZACHARY HAIDER
  • NPI Number: 1629095005
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2097706
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1472
Street 1752 NORTH FRONTAGE
City HASTINGS
State MN
ZIP 55033
Phone 651 438-3030
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 ZACHARY HAIDER

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