52D2257156 CLIA NUMBER - WALMART PHARMACY 10-2509

Laboratory Demographics

  • CLIA Code: 52D2257156
  • Facility Name: WALMART PHARMACY 10-2509
  • Facility Address: 810 S IRISH RD
    CHILTON, WI
    ZIP 53014
  • Facility Phone: 920 849-7271
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEC BEAR
  • NPI Number: 1366469439
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2257156
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2509
Street 810 S IRISH RD
City CHILTON
State WI
ZIP 53014
Phone 920 849-7271
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 ALEC BEAR

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