26D2127395 CLIA NUMBER - WALMART PHARMACY 10-0027

Laboratory Demographics

  • CLIA Code: 26D2127395
  • Facility Name: WALMART PHARMACY 10-0027
  • Facility Address: 1101 HIGHWAY 32 WEST
    SALEM, MO
    ZIP 65560
  • Facility Phone: 573 729-4131
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA OTT
  • NPI Number: 1407873722
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2127395
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0027
Street 1101 HIGHWAY 32 WEST
City SALEM
State MO
ZIP 65560
Phone 573 729-4131
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 JESSICA OTT

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