52D2258981 CLIA NUMBER - WALMART PHARMACY 10-3245

Laboratory Demographics

  • CLIA Code: 52D2258981
  • Facility Name: WALMART PHARMACY 10-3245
  • Facility Address: 15594 STATE HIGHWAY 77
    HAYWARD, WI
    ZIP 54843
  • Facility Phone: (920) 722-1185
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER BEEM
  • NPI Number: 1336166404
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2258981
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3245
Street 15594 STATE HIGHWAY 77
City HAYWARD
State WI
ZIP 54843
Phone 9207221185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2026
Certificate Expiration Date 4/28/2028
Facility Type Pharmacy
Lab Director JENNIFER BEEM

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