24D2127821 CLIA NUMBER - WALMART PHARMACY 10-1020

Laboratory Demographics

  • CLIA Code: 24D2127821
  • Facility Name: WALMART PHARMACY 10-1020
  • Facility Address: 1550 BLAKE AVE
    ALBERT LEA, MN
    ZIP 56007
  • Facility Phone: 507 377-0668
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAWN COWELL
  • NPI Number: 1629095013
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2127821
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1020
Street 1550 BLAKE AVE
City ALBERT LEA
State MN
ZIP 56007
Phone 507 377-0668
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 SHAWN COWELL

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