43D2155081 CLIA NUMBER - WALMART PHARMACY 10-1483

Laboratory Demographics

  • CLIA Code: 43D2155081
  • Facility Name: WALMART PHARMACY 10-1483
  • Facility Address: 3001 BROADWAY AVE
    YANKTON, SD
    ZIP 57078
  • Facility Phone: 605 665-8197
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMILY R. VITEK
  • NPI Number: 1013092659
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 43D2155081
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1483
Street 3001 BROADWAY AVE
City YANKTON
State SD
ZIP 57078
Phone 605 665-8197
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 EMILY R. VITEK

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