26D2122754 CLIA NUMBER - WALMART PHARMACY 10-0379

Laboratory Demographics

  • CLIA Code: 26D2122754
  • Facility Name: WALMART PHARMACY 10-0379
  • Facility Address: 2004 W MARLER LANE
    OZARK, MO
    ZIP 65721
  • Facility Phone: 479 258-2243
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTINE DELON
  • NPI Number: 1427075746
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2122754
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0379
Street 2004 W MARLER LANE
City OZARK
State MO
ZIP 65721
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 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Pharmacy
Lab Director KRISTINE DELON

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