24D2153850 CLIA NUMBER - WALMART PHARMACY 10-1038

Laboratory Demographics

  • CLIA Code: 24D2153850
  • Facility Name: WALMART PHARMACY 10-1038
  • Facility Address: 2103 STATE ST N
    WASECA, MN
    ZIP 56093
  • Facility Phone: 507 835-8184
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM RUX
  • NPI Number: 1174540553
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2153850
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1038
Street 2103 STATE ST N
City WASECA
State MN
ZIP 56093
Phone 507 835-8184
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 KIM RUX

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