36D2121899 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-2078

Laboratory Demographics

  • CLIA Code: 36D2121899
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-2078
  • Facility Address: 804 PIKE ST
    MARIETTA, OH
    ZIP 45750
  • Facility Phone: 740 376-9035
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERICA F. HUFFER
  • NPI Number: 1639196827
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2121899
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-2078
Street 804 PIKE ST
City MARIETTA
State OH
ZIP 45750
Phone 740 376-9035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Pharmacy
Lab Director ERICA F. HUFFER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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