27D2149996 CLIA NUMBER - WALMART INC DBA WALMART PHARMACY #4247

Laboratory Demographics

  • CLIA Code: 27D2149996
  • Facility Name: WALMART INC DBA WALMART PHARMACY #4247
  • Facility Address: 3510 US HW 2 W
    HAVRE, MT
    ZIP 59501
  • Facility Phone: 406 262-9174
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TANA L. JOHNSON
  • NPI Number: 1780749721
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2149996
LAB Type Pharmacy
Facility Name WALMART INC DBA WALMART PHARMACY #4247
Street 3510 US HW 2 W
City HAVRE
State MT
ZIP 59501
Phone 406 262-9174
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 TANA L. JOHNSON

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