24D2097743 CLIA NUMBER - WALMART PHARMACY 10-1865

Laboratory Demographics

  • CLIA Code: 24D2097743
  • Facility Name: WALMART PHARMACY 10-1865
  • Facility Address: 1410 EAST BRIDGE STREET
    REDWOOD FALLS, MN
    ZIP 56283
  • Facility Phone: 507 644-6000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. SHEELEY
  • NPI Number: 1275550659
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2097743
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1865
Street 1410 EAST BRIDGE STREET
City REDWOOD FALLS
State MN
ZIP 56283
Phone 507 644-6000
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 JENNIFER L. SHEELEY

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