36D2121902 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART #10-1911

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Laboratory Demographics

CLIA Number: 36D2121902

Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART #10-1911

Facility Address:
2887 S ARLINGTON ROAD
AKRON, OH
ZIP 44312
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Facility Phone Number: 479 258-7034

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1558388744

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	36D2121902
LAB Type	Pharmacy
Facility Name	WAL-MART STORES EAST, LP DBA WAL-MART #10-1911
Street	2887 S ARLINGTON ROAD
City	AKRON
State	OH
ZIP	44312
Phone	479 258-7034
CertificateType	4
CertificateEffectiveDate	11/16/2022
CertificateExpirationDate	11/15/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024