27D2135422 CLIA NUMBER - WALMART PHARMACY 10-7199

Laboratory Demographics

  • CLIA Code: 27D2135422
  • Facility Name: WALMART PHARMACY 10-7199
  • Facility Address: 5320 10TH AVE S
    GREAT FALLS, MT
    ZIP 59405
  • Facility Phone: 406 770-6070
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARTILYN MERIDETH
  • NPI Number: 1588109797
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2135422
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7199
Street 5320 10TH AVE S
City GREAT FALLS
State MT
ZIP 59405
Phone 406 770-6070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Pharmacy
Lab Director MARTILYN MERIDETH

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