26D2116386 CLIA NUMBER - WALMART PHARMACY 10-00078

Laboratory Demographics

  • CLIA Code: 26D2116386
  • Facility Name: WALMART PHARMACY 10-00078
  • Facility Address: 14740 STATE HWY #38
    MARSHFIELD, MO
    ZIP 65706
  • Facility Phone: 479 258-2243
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TARA THOMAS-ISRINGHAUSEN
  • NPI Number: 1689692154
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2116386
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-00078
Street 14740 STATE HWY #38
City MARSHFIELD
State MO
ZIP 65706
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 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Pharmacy
Lab Director TARA THOMAS-ISRINGHAUSEN

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