27D2150003 CLIA NUMBER - WALMART INC DBA WALMART PHARMACY #2259

Laboratory Demographics

  • CLIA Code: 27D2150003
  • Facility Name: WALMART INC DBA WALMART PHARMACY #2259
  • Facility Address: 170 HUTTON RANCH RD
    KALISPELL, MT
    ZIP 59901
  • Facility Phone: 406 756-7256
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTI STOTTS
  • NPI Number: 1861419103
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2150003
LAB Type Pharmacy
Facility Name WALMART INC DBA WALMART PHARMACY #2259
Street 170 HUTTON RANCH RD
City KALISPELL
State MT
ZIP 59901
Phone 406 756-7256
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 KRISTI STOTTS

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