36D2129325 CLIA NUMBER - WALMART PHARMACY 10- 1857

Laboratory Demographics

  • CLIA Code: 36D2129325
  • Facility Name: WALMART PHARMACY 10- 1857
  • Facility Address: 9303 MENTOR AVE
    MENTOR, OH
    ZIP 44060
  • Facility Phone: 440 974-3301
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINE L. MADDEN
  • NPI Number: 1003833294
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2129325
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 1857
Street 9303 MENTOR AVE
City MENTOR
State OH
ZIP 44060
Phone 440 974-3301
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 CHRISTINE L. MADDEN

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