24D2153848 CLIA NUMBER - WALMART PHARMACY 10-2812

Laboratory Demographics

  • CLIA Code: 24D2153848
  • Facility Name: WALMART PHARMACY 10-2812
  • Facility Address: 25 25TH ST SE
    ROCHESTER, MN
    ZIP 55904
  • Facility Phone: 507 292-1475
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY SPAULDING
  • NPI Number: 1265459655
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2153848
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2812
Street 25 25TH ST SE
City ROCHESTER
State MN
ZIP 55904
Phone 507 292-1475
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 JEFFREY SPAULDING

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