28D2160049 CLIA NUMBER - WALMART PHARMACY 10-4322

Laboratory Demographics

CLIA Number: 28D2160049

Facility Name: WALMART PHARMACY 10-4322

Facility Address:
1800 E 29TH STREET
CRETE, NE
ZIP 68333
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Facility Phone Number: 402 826-1032

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1831307750

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	28D2160049
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-4322
Street	1800 E 29TH STREET
City	CRETE
State	NE
ZIP	68333
Phone	402 826-1032
CertificateType	4
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024