52D2257223 CLIA NUMBER - WALMART PHARMACY 10-4677

Laboratory Demographics

CLIA Number: 52D2257223

Facility Name: WALMART PHARMACY 10-4677

Facility Address:
W159 S6530 MOORELAND RD
MUSKEGO, WI
ZIP 53150
Get Directions

Facility Phone Number: 715 532-2721

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1447450317

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	52D2257223
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-4677
Street	W159 S6530 MOORELAND RD
City	MUSKEGO
State	WI
ZIP	53150
Phone	715 532-2721
CertificateType	4
CertificateEffectiveDate	4/1/2024
CertificateExpirationDate	3/31/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024