36D2129320 CLIA NUMBER - WALMART PHARMACY 10- 1812

Laboratory Demographics

  • CLIA Code: 36D2129320
  • Facility Name: WALMART PHARMACY 10- 1812
  • Facility Address: 3883 BURBANK RD
    WOOSTER, OH
    ZIP 44691
  • Facility Phone: 330 345-8820
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES M. WEINER
  • NPI Number: 1285651463
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2129320
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 1812
Street 3883 BURBANK RD
City WOOSTER
State OH
ZIP 44691
Phone 330 345-8820
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 JAMES M. WEINER

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