52D2257238 CLIA NUMBER - WALMART PHARMACY 10-1551

Laboratory Demographics

  • CLIA Code: 52D2257238
  • Facility Name: WALMART PHARMACY 10-1551
  • Facility Address: 6701 S 27TH ST
    FRANKLIN, WI
    ZIP 53132
  • Facility Phone: 414 761-9571
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HESHAM HAFEZ
  • NPI Number: 1366469413
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2257238
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1551
Street 6701 S 27TH ST
City FRANKLIN
State WI
ZIP 53132
Phone 414 761-9571
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 HESHAM HAFEZ

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