52D2261818 CLIA NUMBER - WALMART PHARMACY 10-971

Laboratory Demographics

  • CLIA Code: 52D2261818
  • Facility Name: WALMART PHARMACY 10-971
  • Facility Address: 1133 N MAIN ST
    VIROQUA, WI
    ZIP 54665
  • Facility Phone: 608 637-8516
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHERYL NELSON
  • NPI Number: 1801813944
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2261818
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-971
Street 1133 N MAIN ST
City VIROQUA
State WI
ZIP 54665
Phone 608 637-8516
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 CHERYL NELSON

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