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26D2144211 CLIA NUMBER - WALMART PHARMACY 10- 5693

Laboratory Demographics

CLIA Number: 26D2144211

Facility Name: WALMART PHARMACY 10- 5693

Facility Address:
1320 S GLENSTONE
SPRINGFIELD, MO
ZIP 65804
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Facility Phone Number: 479 277-2374

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1497772750

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 26D2144211
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 5693
Street 1320 S GLENSTONE
City SPRINGFIELD
State MO
ZIP 65804
Phone 479 277-2374
CertificateType 4
CertificateEffectiveDate 2/13/2024
CertificateExpirationDate 2/12/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024