24D2127815 CLIA NUMBER - WALMART PHARMACY 10-3761

Laboratory Demographics

  • CLIA Code: 24D2127815
  • Facility Name: WALMART PHARMACY 10-3761
  • Facility Address: 1755 HIGHWAY 59 SOUTH
    THIEF RIVER FALLS, MN
    ZIP 56701
  • Facility Phone: 218 683-3655
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMILIE NELSON
  • NPI Number: 1437176831
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2127815
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3761
Street 1755 HIGHWAY 59 SOUTH
City THIEF RIVER FALLS
State MN
ZIP 56701
Phone 218 683-3655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Pharmacy
Lab Director EMILIE NELSON

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