53D2154308 CLIA NUMBER - WALMART PHARMACY #10-1508

Laboratory Demographics

  • CLIA Code: 53D2154308
  • Facility Name: WALMART PHARMACY #10-1508
  • Facility Address: 1695 COFFEEN AVE
    SHERIDAN, WY
    ZIP 82801
  • Facility Phone: 307 674-6492
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATRICA MYERS
  • NPI Number: 1629153234
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 53D2154308
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1508
Street 1695 COFFEEN AVE
City SHERIDAN
State WY
ZIP 82801
Phone 307 674-6492
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Pharmacy
Lab Director PATRICA MYERS

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