26D2143236 CLIA NUMBER - WALMART PHARMACY 10-17

Laboratory Demographics

  • CLIA Code: 26D2143236
  • Facility Name: WALMART PHARMACY 10-17
  • Facility Address: 3200 LUSK DRIVE
    NEOSHO, MO
    ZIP 64850
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE CHAPMAN
  • NPI Number: 1952328213
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2143236
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-17
Street 3200 LUSK DRIVE
City NEOSHO
State MO
ZIP 64850
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 MICHELLE CHAPMAN

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