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29D2161613 CLIA NUMBER - WALMART PHARMACY-STORE 3408

Laboratory Demographics

CLIA Number: 29D2161613

Facility Name: WALMART PHARMACY-STORE 3408

Facility Address:
3200 MARKET ST
CARSON CITY, NV
ZIP 89706
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Facility Phone Number: 775 883-6536

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1417974528

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 29D2161613
LAB Type Pharmacy
Facility Name WALMART PHARMACY-STORE 3408
Street 3200 MARKET ST
City CARSON CITY
State NV
ZIP 89706
Phone 775 883-6536
CertificateType 4
CertificateEffectiveDate 2/6/2023
CertificateExpirationDate 2/5/2025
FacilityType Waiver

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