43D2155072 CLIA NUMBER - WALMART PHARMACY 10-2990

Laboratory Demographics

  • CLIA Code: 43D2155072
  • Facility Name: WALMART PHARMACY 10-2990
  • Facility Address: 1101 EAST SPRUCE ST
    MITCHELL, SD
    ZIP 57301
  • Facility Phone: 605 995-6845
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JODI REIMNITZ
  • NPI Number: 1760568208
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 43D2155072
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2990
Street 1101 EAST SPRUCE ST
City MITCHELL
State SD
ZIP 57301
Phone 605 995-6845
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 JODI REIMNITZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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