26D2135094 CLIA NUMBER - WALMART PHARMACY 10-0190

Laboratory Demographics

  • CLIA Code: 26D2135094
  • Facility Name: WALMART PHARMACY 10-0190
  • Facility Address: 1500 1ST ST
    KENNETT, MO
    ZIP 63857
  • Facility Phone: 573 888-4543
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CANDACE BILLS
  • NPI Number: 1225055585
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2135094
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0190
Street 1500 1ST ST
City KENNETT
State MO
ZIP 63857
Phone 573 888-4543
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 CANDACE BILLS

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