52D2257310 CLIA NUMBER - WALMART PHARMACY 10-1305

Laboratory Demographics

  • CLIA Code: 52D2257310
  • Facility Name: WALMART PHARMACY 10-1305
  • Facility Address: 3800 DEERFIELD DR
    JANESVILLE, WI
    ZIP 53546
  • Facility Phone: 608 745-3030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIE D. GUZMAN
  • NPI Number: 1821015975
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2257310
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1305
Street 3800 DEERFIELD DR
City JANESVILLE
State WI
ZIP 53546
Phone 608 745-3030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Pharmacy
Lab Director MARIE D. GUZMAN

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