52D2257197 CLIA NUMBER - WALMART PHARMACY 10-2452

Laboratory Demographics

  • CLIA Code: 52D2257197
  • Facility Name: WALMART PHARMACY 10-2452
  • Facility Address: 401 E CAPITOL DR
    MILWAUKEE, WI
    ZIP 53212
  • Facility Phone: 414 967-9360
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYLA RALSTON
  • NPI Number: 1891712964
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2257197
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2452
Street 401 E CAPITOL DR
City MILWAUKEE
State WI
ZIP 53212
Phone 414 967-9360
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 KAYLA RALSTON

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