28D2160110 CLIA NUMBER - WALMART PHARMACY 10-2847

Laboratory Demographics

  • CLIA Code: 28D2160110
  • Facility Name: WALMART PHARMACY 10-2847
  • Facility Address: 10504 S 15TH STREET
    BELLEVUE, NE
    ZIP 68123
  • Facility Phone: 402 292-0463
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AARON D. MEYER
  • NPI Number: 1366780090
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2160110
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2847
Street 10504 S 15TH STREET
City BELLEVUE
State NE
ZIP 68123
Phone 402 292-0463
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 AARON D. MEYER

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