24D2153906 CLIA NUMBER - WALMART PHARMACY 10-3624

Laboratory Demographics

  • CLIA Code: 24D2153906
  • Facility Name: WALMART PHARMACY 10-3624
  • Facility Address: 9320 CEDAR STREET
    MONTICELLO, MN
    ZIP 55362
  • Facility Phone: 763 295-9813
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINNAE J. NORBERG
  • NPI Number: 1619994019
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2153906
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3624
Street 9320 CEDAR STREET
City MONTICELLO
State MN
ZIP 55362
Phone 763 295-9813
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 LINNAE J. NORBERG

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