53D2154314 CLIA NUMBER - WALMART PHARMACY #10-3778

Laboratory Demographics

  • CLIA Code: 53D2154314
  • Facility Name: WALMART PHARMACY #10-3778
  • Facility Address: 4255 CY AVE
    CASPER, WY
    ZIP 82604
  • Facility Phone: 307 232-9593
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CRAIG DANA
  • NPI Number: 1487786836
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 53D2154314
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3778
Street 4255 CY AVE
City CASPER
State WY
ZIP 82604
Phone 307 232-9593
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 CRAIG DANA

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