24D2097968 CLIA NUMBER - WALMART PHARMACY 10-2882

Laboratory Demographics

  • CLIA Code: 24D2097968
  • Facility Name: WALMART PHARMACY 10-2882
  • Facility Address: 9451 DUNKIRK LANE NORTH
    MAPLE GROVE, MN
    ZIP 55311
  • Facility Phone: 763 416-2300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN HAMM
  • NPI Number: 1891712287
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2097968
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2882
Street 9451 DUNKIRK LANE NORTH
City MAPLE GROVE
State MN
ZIP 55311
Phone 763 416-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Pharmacy
Lab Director JOHN HAMM

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