53D2154648 CLIA NUMBER - WALMART PHARMACY #10-4471

Laboratory Demographics

  • CLIA Code: 53D2154648
  • Facility Name: WALMART PHARMACY #10-4471
  • Facility Address: 2390 E CEDAR ST
    RAWLINS, WY
    ZIP 82301
  • Facility Phone: 307 417-3001
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER MURRY
  • NPI Number: 1013325182
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 53D2154648
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-4471
Street 2390 E CEDAR ST
City RAWLINS
State WY
ZIP 82301
Phone 307 417-3001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Pharmacy
Lab Director CHRISTOPHER MURRY

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