27D2149988 CLIA NUMBER - WALMART INC DBA WALMART PHARMACY #1872

Laboratory Demographics

  • CLIA Code: 27D2149988
  • Facility Name: WALMART INC DBA WALMART PHARMACY #1872
  • Facility Address: 2750 PROSPECT AVE
    HELENA, MT
    ZIP 59601
  • Facility Phone: 406 443-3455
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY BURTON
  • NPI Number: 1043237381
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2149988
LAB Type Pharmacy
Facility Name WALMART INC DBA WALMART PHARMACY #1872
Street 2750 PROSPECT AVE
City HELENA
State MT
ZIP 59601
Phone 406 443-3455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Pharmacy
Lab Director KELLY BURTON

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