24D2098074 CLIA NUMBER - WALMART PHARMACY 10-2352

Laboratory Demographics

  • CLIA Code: 24D2098074
  • Facility Name: WALMART PHARMACY 10-2352
  • Facility Address: 2101 2ND AVE SE
    CAMBRIDGE, MN
    ZIP 55008
  • Facility Phone: 763 689-0609
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS TREMPE
  • NPI Number: 1710904107
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2098074
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2352
Street 2101 2ND AVE SE
City CAMBRIDGE
State MN
ZIP 55008
Phone 763 689-0609
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Pharmacy
Lab Director THOMAS TREMPE

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