26D2143233 CLIA NUMBER - WALMART PHARMACY 10-21

Laboratory Demographics

  • CLIA Code: 26D2143233
  • Facility Name: WALMART PHARMACY 10-21
  • Facility Address: 185 SAINT ROBERT BOULEVARD
    SAINT ROBERT, MO
    ZIP 65584
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT B. JONES
  • NPI Number: 1417038597
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 26D2143233
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-21
Street 185 SAINT ROBERT BOULEVARD
City SAINT ROBERT
State MO
ZIP 65584
Phone 479 277-2374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Pharmacy
Lab Director ROBERT B. JONES

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