26D2135049 CLIA NUMBER - WALMART PHARMACY 10-2600

Laboratory Demographics

  • CLIA Code: 26D2135049
  • Facility Name: WALMART PHARMACY 10-2600
  • Facility Address: 100 THF BLVD
    CHESTERFIELD, MO
    ZIP 63005
  • Facility Phone: 636 536-4604
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIANNE RIVERS
  • NPI Number: 1114944477
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2135049
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2600
Street 100 THF BLVD
City CHESTERFIELD
State MO
ZIP 63005
Phone 636 536-4604
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director BRIANNE RIVERS

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