26D2129731 CLIA NUMBER - WALMART PHARMACY 10-0013

Laboratory Demographics

  • CLIA Code: 26D2129731
  • Facility Name: WALMART PHARMACY 10-0013
  • Facility Address: 27058 GRAND AVE
    CARTHAGE, MO
    ZIP 64836
  • Facility Phone: 417 358-8839
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LORI K. TAYLOR
  • NPI Number: 1447278973
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2129731
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0013
Street 27058 GRAND AVE
City CARTHAGE
State MO
ZIP 64836
Phone 417 358-8839
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 LORI K. TAYLOR

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