26D2127384 CLIA NUMBER - WALMART PHARMACY 10-0015

Laboratory Demographics

  • CLIA Code: 26D2127384
  • Facility Name: WALMART PHARMACY 10-0015
  • Facility Address: 1310 PREACHER ROE BLVD
    WEST PLAINS, MO
    ZIP 65775
  • Facility Phone: 417 256-7114
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM HART
  • NPI Number: 1811915390
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2127384
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0015
Street 1310 PREACHER ROE BLVD
City WEST PLAINS
State MO
ZIP 65775
Phone 417 256-7114
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 WILLIAM HART

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: 3/20/2025