26D2143723 CLIA NUMBER - WALMART PHARMACY 10-1120

Laboratory Demographics

  • CLIA Code: 26D2143723
  • Facility Name: WALMART PHARMACY 10-1120
  • Facility Address: 7207 N M1 HWY
    GLADSTONE, MO
    ZIP 64119
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRADLEY C. HEATHMAN
  • NPI Number: 1639197114
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2143723
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1120
Street 7207 N M1 HWY
City GLADSTONE
State MO
ZIP 64119
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 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Pharmacy
Lab Director BRADLEY C. HEATHMAN

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