26D2143758 CLIA NUMBER - WALMART PHARMACY 10-0326

Laboratory Demographics

  • CLIA Code: 26D2143758
  • Facility Name: WALMART PHARMACY 10-0326
  • Facility Address: 1180 W 19TH STREET
    HIGGINSVILLE, MO
    ZIP 64037
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH SIMS
  • NPI Number: 1871504092
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2143758
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0326
Street 1180 W 19TH STREET
City HIGGINSVILLE
State MO
ZIP 64037
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 SARAH SIMS

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