43D2155061 CLIA NUMBER - WALMART PHARMACY 10-1535

Laboratory Demographics

  • CLIA Code: 43D2155061
  • Facility Name: WALMART PHARMACY 10-1535
  • Facility Address: 3209 SOUTH LOUISE AVE
    SIOUX FALLS, SD
    ZIP 57106
  • Facility Phone: 605 362-1602
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: CRYSTAL KEZAR
  • NPI Number: 1205853470
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 43D2155061
LAB Type Health Fair
Facility Name WALMART PHARMACY 10-1535
Street 3209 SOUTH LOUISE AVE
City SIOUX FALLS
State SD
ZIP 57106
Phone 605 362-1602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Health Fair
Lab Director CRYSTAL KEZAR

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