26D2145418 CLIA NUMBER - WALMART PHARMACY 10 - 7249

Laboratory Demographics

  • CLIA Code: 26D2145418
  • Facility Name: WALMART PHARMACY 10 - 7249
  • Facility Address: 500 W MOUNT VERNON BLVD
    MOUNT VERNON, MO
    ZIP 65712
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON BARKER
  • NPI Number: 1942618517
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2145418
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10 - 7249
Street 500 W MOUNT VERNON BLVD
City MOUNT VERNON
State MO
ZIP 65712
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 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Pharmacy
Lab Director BRANDON BARKER

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