52D2257065 CLIA NUMBER - WALMART PHARMACY 10-2828

Laboratory Demographics

  • CLIA Code: 52D2257065
  • Facility Name: WALMART PHARMACY 10-2828
  • Facility Address: 3355 S 27TH ST
    MILWAUKEE, WI
    ZIP 53215
  • Facility Phone: 715 486-9439
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANCISCA AJAYI
  • NPI Number: 1356368427
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2257065
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2828
Street 3355 S 27TH ST
City MILWAUKEE
State WI
ZIP 53215
Phone 715 486-9439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Pharmacy
Lab Director FRANCISCA AJAYI

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