21D2157609 CLIA NUMBER - WALMART PHARMACY 10-2514

Laboratory Demographics

  • CLIA Code: 21D2157609
  • Facility Name: WALMART PHARMACY 10-2514
  • Facility Address: 2132 OLD SNOW HILL ROAD
    POCOMOKE CITY, MD
    ZIP 21851
  • Facility Phone: 410 957-9610
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE R. GODWIN
  • NPI Number: 1104843481
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2157609
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2514
Street 2132 OLD SNOW HILL ROAD
City POCOMOKE CITY
State MD
ZIP 21851
Phone 410 957-9610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Pharmacy
Lab Director STEPHANIE R. GODWIN

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