46D2138516 CLIA NUMBER - WALMART PHARMACY 10-1440

Laboratory Demographics

  • CLIA Code: 46D2138516
  • Facility Name: WALMART PHARMACY 10-1440
  • Facility Address: 99 W 1280 N
    TOOELE, UT
    ZIP 84074
  • Facility Phone: 435 882-0150
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES L. CLARK
  • NPI Number: 1912096405
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 46D2138516
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1440
Street 99 W 1280 N
City TOOELE
State UT
ZIP 84074
Phone 435 882-0150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Pharmacy
Lab Director JAMES L. CLARK

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