28D2129373 CLIA NUMBER - WALMART PHARMACY 10-0645

Laboratory Demographics

  • CLIA Code: 28D2129373
  • Facility Name: WALMART PHARMACY 10-0645
  • Facility Address: 2400 W PASEWALK AVE
    NORFOLK, NE
    ZIP 68701
  • Facility Phone: 402 371-6232
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. TOM SULLIVAN
  • NPI Number: 1912087628
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 28D2129373
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0645
Street 2400 W PASEWALK AVE
City NORFOLK
State NE
ZIP 68701
Phone 402 371-6232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Pharmacy
Lab Director MR. TOM SULLIVAN

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