26D2146013 CLIA NUMBER - WALMART PHARMACY 10 -138

Laboratory Demographics

  • CLIA Code: 26D2146013
  • Facility Name: WALMART PHARMACY 10 -138
  • Facility Address: 1923 E KEARNEY STREET
    SPRINGFIELD, MO
    ZIP 65803
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEVI HARE-TOWNSEND
  • NPI Number: 1245257666
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2146013
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10 -138
Street 1923 E KEARNEY STREET
City SPRINGFIELD
State MO
ZIP 65803
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 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Pharmacy
Lab Director LEVI HARE-TOWNSEND

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