43D2155070 CLIA NUMBER - WALMART 10-1604

Laboratory Demographics

  • CLIA Code: 43D2155070
  • Facility Name: WALMART 10-1604
  • Facility Address: 1200 NORTH LACROSSE ST
    RAPID CITY, SD
    ZIP 57701
  • Facility Phone: 706 335-7818
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LANDON CARDA
  • NPI Number: 1205184249
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 43D2155070
LAB Type Pharmacy
Facility Name WALMART 10-1604
Street 1200 NORTH LACROSSE ST
City RAPID CITY
State SD
ZIP 57701
Phone 706 335-7818
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 LANDON CARDA

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