26D2129729 CLIA NUMBER - WALMART PHARMACY 10-5421

Laboratory Demographics

  • CLIA Code: 26D2129729
  • Facility Name: WALMART PHARMACY 10-5421
  • Facility Address: 45 SUTTERS MILL ROAD
    SAINT PETERS, MO
    ZIP 63376
  • Facility Phone: 636 842-6812
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL HENRICHS
  • NPI Number: 1073985404
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2129729
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5421
Street 45 SUTTERS MILL ROAD
City SAINT PETERS
State MO
ZIP 63376
Phone 636 842-6812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Pharmacy
Lab Director DANIEL HENRICHS

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