26D2142781 CLIA NUMBER - WALMART PHARMACY 10-5927

Laboratory Demographics

  • CLIA Code: 26D2142781
  • Facility Name: WALMART PHARMACY 10-5927
  • Facility Address: 3390 N HIGHWAY 67
    FLORISSANT, MO
    ZIP 63033
  • Facility Phone: 314 824-0022
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VIJAYA KODE
  • NPI Number: 1013396191
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 26D2142781
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5927
Street 3390 N HIGHWAY 67
City FLORISSANT
State MO
ZIP 63033
Phone 314 824-0022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Pharmacy
Lab Director VIJAYA KODE

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