28D2129377 CLIA NUMBER - WALMART PHARMACY 10-0790

Laboratory Demographics

  • CLIA Code: 28D2129377
  • Facility Name: WALMART PHARMACY 10-0790
  • Facility Address: 1902 W B ST
    MCCOOK, NE
    ZIP 69001
  • Facility Phone: (308) 345-7024
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. MEGAN L. TAYLOR
  • NPI Number: 1164449260
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2129377
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0790
Street 1902 W B ST
City MCCOOK
State NE
ZIP 69001
Phone 3083457024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Pharmacy
Lab Director MS. MEGAN L. TAYLOR

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This page was last updated on: 5/18/2026