26D2145425 CLIA NUMBER - WALMART PHARMACY 10 - 820

Laboratory Demographics

  • CLIA Code: 26D2145425
  • Facility Name: WALMART PHARMACY 10 - 820
  • Facility Address: 2150 MAIN STREET
    BOONVILLE, MO
    ZIP 65233
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIFFANY E. LENZ
  • NPI Number: 1043237365
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2145425
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10 - 820
Street 2150 MAIN STREET
City BOONVILLE
State MO
ZIP 65233
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 TIFFANY E. LENZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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