26D2143244 CLIA NUMBER - WALMART PHARMACY 10-25

Laboratory Demographics

  • CLIA Code: 26D2143244
  • Facility Name: WALMART PHARMACY 10-25
  • Facility Address: 4820 SOUTH CLARK STREET
    MEXICO, MO
    ZIP 65265
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN LAVY
  • NPI Number: 1215954565
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2143244
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-25
Street 4820 SOUTH CLARK STREET
City MEXICO
State MO
ZIP 65265
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 MEGAN LAVY

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