26D2143235 CLIA NUMBER - WALMART PHARMACY 10-89

Laboratory Demographics

  • CLIA Code: 26D2143235
  • Facility Name: WALMART PHARMACY 10-89
  • Facility Address: 94 CECIL STREET
    CAMDENTON, MO
    ZIP 65020
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS B. COLLINS
  • NPI Number: 1063439487
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2143235
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-89
Street 94 CECIL STREET
City CAMDENTON
State MO
ZIP 65020
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 NICHOLAS B. COLLINS

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