46D2138980 CLIA NUMBER - WALMART PHARMACY 10-5168

Laboratory Demographics

  • CLIA Code: 46D2138980
  • Facility Name: WALMART PHARMACY 10-5168
  • Facility Address: 10 E 1300 S
    RICHFIELD, UT
    ZIP 84701
  • Facility Phone: 435 893-8470
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY J. BLISS
  • NPI Number: 1548341589
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 46D2138980
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5168
Street 10 E 1300 S
City RICHFIELD
State UT
ZIP 84701
Phone 435 893-8470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Pharmacy
Lab Director KELLY J. BLISS

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