26D2115571 CLIA NUMBER - WALMART #10-00179

Laboratory Demographics

  • CLIA Code: 26D2115571
  • Facility Name: WALMART #10-00179
  • Facility Address: 3520 W SUNSHINE ST
    SPRINGFIELD, MO
    ZIP 65807
  • Facility Phone: 479 258-2243
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YINANT KURTH
  • NPI Number: 1972520393
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2115571
LAB Type Pharmacy
Facility Name WALMART #10-00179
Street 3520 W SUNSHINE ST
City SPRINGFIELD
State MO
ZIP 65807
Phone 479 258-2243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Pharmacy
Lab Director YINANT KURTH

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