24D2153923 CLIA NUMBER - WALMART PHARMACY 10-5397

Laboratory Demographics

  • CLIA Code: 24D2153923
  • Facility Name: WALMART PHARMACY 10-5397
  • Facility Address: 955 FRONTENAC DRIVE
    WINONA, MN
    ZIP 55987
  • Facility Phone: 507 452-0615
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL NUNES
  • NPI Number: 1083631485
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2153923
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5397
Street 955 FRONTENAC DRIVE
City WINONA
State MN
ZIP 55987
Phone 507 452-0615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Pharmacy
Lab Director DANIEL NUNES

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