26D2127387 CLIA NUMBER - WALMART PHARMACY 10-0082

Laboratory Demographics

  • CLIA Code: 26D2127387
  • Facility Name: WALMART PHARMACY 10-0082
  • Facility Address: 1750 S PERRYVILLE BLVD
    PERRYVILLE, MO
    ZIP 63775
  • Facility Phone: 573 547-2571
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KERRI URHAHN
  • NPI Number: 1407873763
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2127387
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0082
Street 1750 S PERRYVILLE BLVD
City PERRYVILLE
State MO
ZIP 63775
Phone 573 547-2571
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 KERRI URHAHN

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