46D2139734 CLIA NUMBER - WALMART PHARMACY 10-3220

Laboratory Demographics

  • CLIA Code: 46D2139734
  • Facility Name: WALMART PHARMACY 10-3220
  • Facility Address: 2610 PIONEER RD
    ST GEORGE, UT
    ZIP 84790
  • Facility Phone: 435 674-5792
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHAD C. MAXFIELD
  • NPI Number: 1962592204
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 46D2139734
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3220
Street 2610 PIONEER RD
City ST GEORGE
State UT
ZIP 84790
Phone 435 674-5792
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Pharmacy
Lab Director CHAD C. MAXFIELD

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