FDA UDI In Commercial Distribution 🇺🇸 United States

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DI: 00194346415908 · Model: ICO-3000 · WAL-MART STORES, INC.
Product Codes
1
GMDN Terms
1
Identifiers
3
Pkg Device Count
1

Basic Information

Brand Name
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Primary DI
00194346415908
Version / Model
ICO-3000
Company Name
WAL-MART STORES, INC.
Labeler DUNS
051957769
Distribution Status
In Commercial Distribution
Device Count in Pkg
1
Record Status
Published
Publish Date
2025-05-22
Public Version
1
Public Version Date
2025-05-30
Public Version Status
New
Public Device Record Key
04b2f642-44b6-497b-ab85-b29fb10ee997

Device Description

COVID-19 ANTIGEN REPID TEST ICO-3000

Device Characteristics

Single Use
Yes
Prescription Use (Rx)
No
Over the Counter (OTC)
No
Kit
No
Combination Product
No
HCT/P
No
Contains NRL
No
Not Made with NRL
No
MRI Safety
Labeling does not contain MRI Safety Information
Direct Marking Exempt
No
PM Exempt
No
Has Serial Number
No
Has Lot/Batch Number
Yes
Has Manufacturing Date
No
Has Expiration Date
Yes
Has Donation ID
No

Sterilization

Is Sterile
No
Sterilization Prior Use
No

Product Codes

Code Name
QYT Over-The-Counter Covid-19 Antigen Test

GMDN Terms

Code Name
65454 SARS-CoV-2 antigen IVD, kit, rapid ICT, self-testing

Identifiers

Type ID
Package 10194346415905
Primary 00194346415908
Package 20194346415902

Premarket Submissions

Submission Number Supplement Number
K233842 000