24D2153924 CLIA NUMBER - WALMART PHARMACY 10-3534

Laboratory Demographics

  • CLIA Code: 24D2153924
  • Facility Name: WALMART PHARMACY 10-3534
  • Facility Address: 295 TYLER RD S
    RED WING, MN
    ZIP 55066
  • Facility Phone: 651 385-0594
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESS BROWN
  • NPI Number: 1447277843
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2153924
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3534
Street 295 TYLER RD S
City RED WING
State MN
ZIP 55066
Phone 651 385-0594
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 JESS BROWN

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