52D2257193 CLIA NUMBER - WALMART PHARMACY 10-2668

Laboratory Demographics

  • CLIA Code: 52D2257193
  • Facility Name: WALMART PHARMACY 10-2668
  • Facility Address: 3049 OAKES RD
    STURTEVANT, WI
    ZIP 53177
  • Facility Phone: 262 334-9860
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD BARBARAWI
  • NPI Number: 1629095799
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2257193
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2668
Street 3049 OAKES RD
City STURTEVANT
State WI
ZIP 53177
Phone 262 334-9860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Pharmacy
Lab Director MOHAMMAD BARBARAWI

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