36D2129318 CLIA NUMBER - WALMART PHARMACY 10-1448

Laboratory Demographics

  • CLIA Code: 36D2129318
  • Facility Name: WALMART PHARMACY 10-1448
  • Facility Address: 1996 E MAIN ST
    ASHLAND, OH
    ZIP 44805
  • Facility Phone: 419 289-6859
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH FREER
  • NPI Number: 1932119013
  • Taxonomy: 156FX1800X - Technician/Technologist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2129318
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1448
Street 1996 E MAIN ST
City ASHLAND
State OH
ZIP 44805
Phone 419 289-6859
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Pharmacy
Lab Director SARAH FREER

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