52D2261809 CLIA NUMBER - WALMART PHARMACY 10-882

Laboratory Demographics

  • CLIA Code: 52D2261809
  • Facility Name: WALMART PHARMACY 10-882
  • Facility Address: 38020 US HIGHWAY 18
    PRAIRIE DU CHIEN, WI
    ZIP 53821
  • Facility Phone: 608 326-2168
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY MCDONALD
  • NPI Number: 1366469405
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2261809
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-882
Street 38020 US HIGHWAY 18
City PRAIRIE DU CHIEN
State WI
ZIP 53821
Phone 608 326-2168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Pharmacy
Lab Director JEFFREY MCDONALD

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