43D2155068 CLIA NUMBER - WALMART 10-1543

Laboratory Demographics

CLIA Number: 43D2155068

Facility Name: WALMART 10-1543

Facility Address:
2825 1ST AVE
SPEARFISH, SD
ZIP 57783
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Facility Phone Number: 605 642-3025

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1194805606

Taxonomy: 156FX1800X - Technician/Technologist
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

CLIA Record

Field Name	Field Value
CLIA Number	43D2155068
LAB Type	Pharmacy
Facility Name	WALMART 10-1543
Street	2825 1ST AVE
City	SPEARFISH
State	SD
ZIP	57783
Phone	605 642-3025
CertificateType	4
CertificateEffectiveDate	9/24/2022
CertificateExpirationDate	9/23/2024
FacilityType	Waiver

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