24D2134004 CLIA NUMBER - WALMART PHARMACY 10-1627

Laboratory Demographics

  • CLIA Code: 24D2134004
  • Facility Name: WALMART PHARMACY 10-1627
  • Facility Address: 415 34TH STREET NORTH
    DILWORTH, MN
    ZIP 56529
  • Facility Phone: 218 233-7545
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEATHER M. GEIST
  • NPI Number: 1356368724
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2134004
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1627
Street 415 34TH STREET NORTH
City DILWORTH
State MN
ZIP 56529
Phone 218 233-7545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Pharmacy
Lab Director HEATHER M. GEIST

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