26D2135091 CLIA NUMBER - WALMART PHARMACY 10-0203

Laboratory Demographics

  • CLIA Code: 26D2135091
  • Facility Name: WALMART PHARMACY 10-0203
  • Facility Address: 937 PARK CIRCLE DRIVE
    BROOKFIELD, MO
    ZIP 64628
  • Facility Phone: 660 258-7404
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS M. WAUGH
  • NPI Number: 1609893924
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2135091
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0203
Street 937 PARK CIRCLE DRIVE
City BROOKFIELD
State MO
ZIP 64628
Phone 660 258-7404
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 CHRIS M. WAUGH

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