36D2122514 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-1937

Laboratory Demographics

  • CLIA Code: 36D2122514
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-1937
  • Facility Address: 23605 AIRPORT RD
    COSHOCTON, OH
    ZIP 43812
  • Facility Phone: 740 622-1292
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYLA M. HILDEBRAND
  • NPI Number: 1821015017
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2122514
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-1937
Street 23605 AIRPORT RD
City COSHOCTON
State OH
ZIP 43812
Phone 740 622-1292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Pharmacy
Lab Director KAYLA M. HILDEBRAND

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