26D2127379 CLIA NUMBER - WALMART PHARMACY 10-0059

Laboratory Demographics

  • CLIA Code: 26D2127379
  • Facility Name: WALMART PHARMACY 10-0059
  • Facility Address: 1501 S RANGE LINE RD
    JOPLIN, MO
    ZIP 64804
  • Facility Phone: 417 624-2222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAETLYN TAUNTON
  • NPI Number: 1427075845
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2127379
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0059
Street 1501 S RANGE LINE RD
City JOPLIN
State MO
ZIP 64804
Phone 417 624-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Pharmacy
Lab Director KAETLYN TAUNTON

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