28D2129381 CLIA NUMBER - WALMART PHARMACY 10-0350

Laboratory Demographics

  • CLIA Code: 28D2129381
  • Facility Name: WALMART PHARMACY 10-0350
  • Facility Address: 101 E DAVID DR
    YORK, NE
    ZIP 68467
  • Facility Phone: 402 362-2092
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. JACQUELINE WILKINSON
  • NPI Number: 1003999343
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 28D2129381
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0350
Street 101 E DAVID DR
City YORK
State NE
ZIP 68467
Phone 402 362-2092
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 MS. JACQUELINE WILKINSON

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