24D2154631 CLIA NUMBER - WALMART PHARMACY 10-3233

Laboratory Demographics

  • CLIA Code: 24D2154631
  • Facility Name: WALMART PHARMACY 10-3233
  • Facility Address: 2025 PAUL BUNYAN DR NW
    BEMIDJI, MN
    ZIP 56601
  • Facility Phone: 218 755-6132
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON BURK
  • NPI Number: 1992722391
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2154631
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3233
Street 2025 PAUL BUNYAN DR NW
City BEMIDJI
State MN
ZIP 56601
Phone 218 755-6132
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 BRANDON BURK

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