26D2120115 CLIA NUMBER - WALMART PHARMACY 10-2616

Laboratory Demographics

  • CLIA Code: 26D2120115
  • Facility Name: WALMART PHARMACY 10-2616
  • Facility Address: 1307 HIGHWAY K
    O FALLON, MO
    ZIP 63366
  • Facility Phone: 479 258-2243
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSEY A. PERREY
  • NPI Number: 1942227202
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2120115
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2616
Street 1307 HIGHWAY K
City O FALLON
State MO
ZIP 63366
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 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Pharmacy
Lab Director LINDSEY A. PERREY

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