52D2257084 CLIA NUMBER - WALMART PHARMACY 10-5438

Laboratory Demographics

  • CLIA Code: 52D2257084
  • Facility Name: WALMART PHARMACY 10-5438
  • Facility Address: 15205 W GREENFIELD AVE
    NEW BERLIN, WI
    ZIP 53151
  • Facility Phone: 715 246-9097
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALBERT SARKIS
  • NPI Number: 1487672259
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2257084
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5438
Street 15205 W GREENFIELD AVE
City NEW BERLIN
State WI
ZIP 53151
Phone 715 246-9097
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 ALBERT SARKIS

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