24D2153880 CLIA NUMBER - WALMART PHARMACY 10-1858

Laboratory Demographics

  • CLIA Code: 24D2153880
  • Facility Name: WALMART PHARMACY 10-1858
  • Facility Address: 3001 E HIGHWAY 7
    MONTEVIDEO, MN
    ZIP 56265
  • Facility Phone: 320 269-5496
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW MEYER
  • NPI Number: 1548287923
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2153880
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1858
Street 3001 E HIGHWAY 7
City MONTEVIDEO
State MN
ZIP 56265
Phone 320 269-5496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Pharmacy
Lab Director ANDREW MEYER

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