24D2097723 CLIA NUMBER - WALMART PHARMACY 10-1861

Laboratory Demographics

  • CLIA Code: 24D2097723
  • Facility Name: WALMART PHARMACY 10-1861
  • Facility Address: 5815 NORELL AVE NORTH
    OAK PARK HEIGHTS, MN
    ZIP 55082
  • Facility Phone: 651 439-7630
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE SCHNEIDER
  • NPI Number: 1457378838
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2097723
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1861
Street 5815 NORELL AVE NORTH
City OAK PARK HEIGHTS
State MN
ZIP 55082
Phone 651 439-7630
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 SCHNEIDER

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