Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
15D2124295
|
|
Clinical laboratory number
|
|
Lab Name
|
WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY
|
|
Laboratory Name
|
|
Lab Type
|
Pharmacy
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
479-258-6734
|
|
Laboratory telephone number
|
|
Fax
|
479-204-0980
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
10617 E WASHINGTON ST
|
|
Primary location adress line
|
|
City
|
INDIANAPOLIS
|
|
Primary location city name
|
|
State
|
IN
|
|
Primary location state name
|
|
Zip
|
46229
|
|
Primary location postal code
|