08D2139666 CLIA NUMBER - WALMART PHARMACY # 10-1736

Laboratory Demographics

  • CLIA Code: 08D2139666
  • Facility Name: WALMART PHARMACY # 10-1736
  • Facility Address: 36 JEROME DR
    DOVER, DE
    ZIP 19901
  • Facility Phone: 302 674-4827
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GERARD MENGANG
  • NPI Number: 1144247438
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2139666
LAB Type Pharmacy
Facility Name WALMART PHARMACY # 10-1736
Street 36 JEROME DR
City DOVER
State DE
ZIP 19901
Phone 302 674-4827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Pharmacy
Lab Director GERARD MENGANG

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