52D2257194 CLIA NUMBER - WALMART PHARMACY 10-1678

Laboratory Demographics

  • CLIA Code: 52D2257194
  • Facility Name: WALMART PHARMACY 10-1678
  • Facility Address: 2863 HERITAGE DR
    DELAFIELD, WI
    ZIP 53018
  • Facility Phone: (262) 646-3535
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA GARDENER

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CLIA Record

Field Name Field Value
CLIA Number 52D2257194
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1678
Street 2863 HERITAGE DR
City DELAFIELD
State WI
ZIP 53018
Phone 2626463535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2026
Certificate Expiration Date 3/31/2028
Facility Type Pharmacy
Lab Director LISA GARDENER

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