28D2160067 CLIA NUMBER - WALMART PHARMACY 10-1585

Laboratory Demographics

  • CLIA Code: 28D2160067
  • Facility Name: WALMART PHARMACY 10-1585
  • Facility Address: 1401 S DEWEY STREET
    NORTH PLATTE, NE
    ZIP 69101
  • Facility Phone: 308 532-5830
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINE M. HAYES
  • NPI Number: 1205911856
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 28D2160067
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1585
Street 1401 S DEWEY STREET
City NORTH PLATTE
State NE
ZIP 69101
Phone 308 532-5830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Pharmacy
Lab Director CHRISTINE M. HAYES

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