08D2139726 CLIA NUMBER - WALMART PHARMACY # 10-2419

Laboratory Demographics

  • CLIA Code: 08D2139726
  • Facility Name: WALMART PHARMACY # 10-2419
  • Facility Address: 18922 REHOBOTH MALL BLVD
    REHOBOTH BEACH, DE
    ZIP 19971
  • Facility Phone: 302 644-8022
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY WEBB
  • NPI Number: 1619995032
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2139726
LAB Type Pharmacy
Facility Name WALMART PHARMACY # 10-2419
Street 18922 REHOBOTH MALL BLVD
City REHOBOTH BEACH
State DE
ZIP 19971
Phone 302 644-8022
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 ASHLEY WEBB

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