24D2153844 CLIA NUMBER - WALMART PHARMACY 10-982

Laboratory Demographics

  • CLIA Code: 24D2153844
  • Facility Name: WALMART PHARMACY 10-982
  • Facility Address: 1130 W FRONTAGE RD
    OWATONNA, MN
    ZIP 55060
  • Facility Phone: 507 451-3323
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLAYTON J. MILLER
  • NPI Number: 1356368732
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2153844
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-982
Street 1130 W FRONTAGE RD
City OWATONNA
State MN
ZIP 55060
Phone 507 451-3323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Pharmacy
Lab Director CLAYTON J. MILLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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