24D2154313 CLIA NUMBER - WALMART PHARMACY 10-1738

Laboratory Demographics

  • CLIA Code: 24D2154313
  • Facility Name: WALMART PHARMACY 10-1738
  • Facility Address: 1300 HIGHWAY 15 S
    HUTCHINSON, MN
    ZIP 55350
  • Facility Phone: 320 587-1023
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER DEMERE
  • NPI Number: 1093732588
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2154313
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1738
Street 1300 HIGHWAY 15 S
City HUTCHINSON
State MN
ZIP 55350
Phone 320 587-1023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Pharmacy
Lab Director JENNIFER DEMERE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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