52D2257318 CLIA NUMBER - WALMART PHARMACY 10-3247

Laboratory Demographics

  • CLIA Code: 52D2257318
  • Facility Name: WALMART PHARMACY 10-3247
  • Facility Address: 1819 E GENEVA ST
    DELAVAN, WI
    ZIP 53115
  • Facility Phone: (715) 634-8309
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHERYL JACOBSON
  • NPI Number: 1346267416
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2257318
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3247
Street 1819 E GENEVA ST
City DELAVAN
State WI
ZIP 53115
Phone 7156348309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2026
Certificate Expiration Date 4/3/2028
Facility Type Pharmacy
Lab Director SHERYL JACOBSON

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