24D2154971 CLIA NUMBER - WALMART PHARMACY 10-1654

Laboratory Demographics

  • CLIA Code: 24D2154971
  • Facility Name: WALMART PHARMACY 10-1654
  • Facility Address: 7295 GLORY ROAD
    BAXTER, MN
    ZIP 56425
  • Facility Phone: 218 829-5510
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW FALK
  • NPI Number: 1225402571
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2154971
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1654
Street 7295 GLORY ROAD
City BAXTER
State MN
ZIP 56425
Phone 218 829-5510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Pharmacy
Lab Director MATTHEW FALK

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