26D2136486 CLIA NUMBER - WALMART PHARMACY 10-1188

Laboratory Demographics

  • CLIA Code: 26D2136486
  • Facility Name: WALMART PHARMACY 10-1188
  • Facility Address: 11900 ST CHARLES ROCK RD
    BRIDGETON, MO
    ZIP 63044
  • Facility Phone: 314 291-8110
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DYLAN MCDONALD
  • NPI Number: 1497772743
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2136486
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1188
Street 11900 ST CHARLES ROCK RD
City BRIDGETON
State MO
ZIP 63044
Phone 314 291-8110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Pharmacy
Lab Director DYLAN MCDONALD

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