24D2154611 CLIA NUMBER - WALMART PHARMACY 10-2642

Laboratory Demographics

  • CLIA Code: 24D2154611
  • Facility Name: WALMART PHARMACY 10-2642
  • Facility Address: 7835 150TH STREET W
    APPLE VALLEY, MN
    ZIP 55124
  • Facility Phone: 952 431-9703
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN CALNON
  • NPI Number: 1356368740
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2154611
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2642
Street 7835 150TH STREET W
City APPLE VALLEY
State MN
ZIP 55124
Phone 952 431-9703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Pharmacy
Lab Director BRIAN CALNON

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