24D2153927 CLIA NUMBER - WALMART PHARMACY 10-4244

Laboratory Demographics

  • CLIA Code: 24D2153927
  • Facility Name: WALMART PHARMACY 10-4244
  • Facility Address: 1303 CHARLES STREET
    PARK RAPIDS, MN
    ZIP 56470
  • Facility Phone: 218 732-0329
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTEN RICHTER
  • NPI Number: 1265565394
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2153927
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4244
Street 1303 CHARLES STREET
City PARK RAPIDS
State MN
ZIP 56470
Phone 218 732-0329
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 KRISTEN RICHTER

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