26D2145428 CLIA NUMBER - WALMART PHARMACY 10 - 92

Laboratory Demographics

  • CLIA Code: 26D2145428
  • Facility Name: WALMART PHARMACY 10 - 92
  • Facility Address: 3020 S ELLIOTT AVENUE
    AURORA, MO
    ZIP 65605
  • Facility Phone: (479) 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON BARKER
  • NPI Number: 1316964679
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2145428
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10 - 92
Street 3020 S ELLIOTT AVENUE
City AURORA
State MO
ZIP 65605
Phone 4792772374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2026
Certificate Expiration Date 3/6/2028
Facility Type Pharmacy
Lab Director BRANDON BARKER

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This page was last updated on: 5/18/2026