52D2257066 CLIA NUMBER - WALMART PHARMACY 10-1394

Laboratory Demographics

  • CLIA Code: 52D2257066
  • Facility Name: WALMART PHARMACY 10-1394
  • Facility Address: 10600 W LAYTON AVE
    GREENFIELD, WI
    ZIP 53228
  • Facility Phone: 414 529-4699
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CONNOR KLEMAN
  • NPI Number: 1376560425
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2257066
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1394
Street 10600 W LAYTON AVE
City GREENFIELD
State WI
ZIP 53228
Phone 414 529-4699
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 CONNOR KLEMAN

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