43D2155065 CLIA NUMBER - WALMART 10-1520

Laboratory Demographics

  • CLIA Code: 43D2155065
  • Facility Name: WALMART 10-1520
  • Facility Address: 3820 7TH AVE SOUTHEAST
    ABERDEEN, SD
    ZIP 57401
  • Facility Phone: (605) 229-1519
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WENDY JACKSON
  • NPI Number: 1588681753
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 43D2155065
LAB Type Pharmacy
Facility Name WALMART 10-1520
Street 3820 7TH AVE SOUTHEAST
City ABERDEEN
State SD
ZIP 57401
Phone 6052291519
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 Pharmacy
Lab Director WENDY JACKSON

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This page was last updated on: 5/18/2026