26D2133357 CLIA NUMBER - WALMART PHARMACY 10-0871

Laboratory Demographics

  • CLIA Code: 26D2133357
  • Facility Name: WALMART PHARMACY 10-0871
  • Facility Address: 101 W US HIGHWAY 60
    MOUNTAIN VIEW, MO
    ZIP 65548
  • Facility Phone: 417 934-2212
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LYDIA R. ORR
  • NPI Number: 1902824485
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2133357
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0871
Street 101 W US HIGHWAY 60
City MOUNTAIN VIEW
State MO
ZIP 65548
Phone 417 934-2212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Pharmacy
Lab Director LYDIA R. ORR

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