26D2133358 CLIA NUMBER - WALMART PHARMACY 10-0243

Laboratory Demographics

  • CLIA Code: 26D2133358
  • Facility Name: WALMART PHARMACY 10-0243
  • Facility Address: 1971 WENTZVILLE PKWY
    WENTZVILLE, MO
    ZIP 63385
  • Facility Phone: 636 327-5334
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AARON GRAH
  • NPI Number: 1396762654
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2133358
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0243
Street 1971 WENTZVILLE PKWY
City WENTZVILLE
State MO
ZIP 63385
Phone 636 327-5334
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 AARON GRAH

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