26D2146017 CLIA NUMBER - WALMART PHARMACY 10 - 888

Laboratory Demographics

  • CLIA Code: 26D2146017
  • Facility Name: WALMART PHARMACY 10 - 888
  • Facility Address: 400 S FRAN
    BUTLER, MO
    ZIP 64730
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL SWANSON
  • NPI Number: 1144247495
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2146017
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10 - 888
Street 400 S FRAN
City BUTLER
State MO
ZIP 64730
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 DANIEL SWANSON

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