36D2121906 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART #10-2441

Laboratory Demographics

  • CLIA Code: 36D2121906
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART #10-2441
  • Facility Address: 1505 MAIN STREET
    HAMILTON, OH
    ZIP 45013
  • Facility Phone: 479 258-7034
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA YERKES RPH
  • NPI Number: 1295752483
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2121906
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART #10-2441
Street 1505 MAIN STREET
City HAMILTON
State OH
ZIP 45013
Phone 479 258-7034
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 JESSICA YERKES RPH

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