52D2257137 CLIA NUMBER - WALMART PHARMACY 10-1396

Laboratory Demographics

  • CLIA Code: 52D2257137
  • Facility Name: WALMART PHARMACY 10-1396
  • Facility Address: 920 STATE RD 136
    BARABOO, WI
    ZIP 53913
  • Facility Phone: (608) 356-1779
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT KAAS

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CLIA Record

Field Name Field Value
CLIA Number 52D2257137
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1396
Street 920 STATE RD 136
City BARABOO
State WI
ZIP 53913
Phone 6083561779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2026
Certificate Expiration Date 3/30/2028
Facility Type Pharmacy
Lab Director ROBERT KAAS

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This page was last updated on: 5/18/2026