24D2153907 CLIA NUMBER - WALMART PHARMACY 10-2937

Laboratory Demographics

  • CLIA Code: 24D2153907
  • Facility Name: WALMART PHARMACY 10-2937
  • Facility Address: 12080 HIGHWAY 169 W
    HIBBING, MN
    ZIP 55746
  • Facility Phone: 218 262-3419
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON W. HELD
  • NPI Number: 1619994001
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2153907
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2937
Street 12080 HIGHWAY 169 W
City HIBBING
State MN
ZIP 55746
Phone 218 262-3419
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 BRANDON W. HELD

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