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26D2143227 CLIA NUMBER - WALMART PHARMACY 10-2955

Laboratory Demographics

CLIA Number: 26D2143227

Facility Name: WALMART PHARMACY 10-2955

Facility Address:
1701 W 133RD STREET
KANSAS CITY, MO
ZIP 64145
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Facility Phone Number: 471 277-2374

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1316964646

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 26D2143227
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2955
Street 1701 W 133RD STREET
City KANSAS CITY
State MO
ZIP 64145
Phone 471 277-2374
CertificateType 4
CertificateEffectiveDate 1/26/2024
CertificateExpirationDate 1/25/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024