36D2129327 CLIA NUMBER - WALMART PHARMACY 10- 2197

Laboratory Demographics

  • CLIA Code: 36D2129327
  • Facility Name: WALMART PHARMACY 10- 2197
  • Facility Address: 2016 MILLENNIUM BLVD
    CORTLAND, OH
    ZIP 44410
  • Facility Phone: 330 372-1991
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL JANE STREET
  • NPI Number: 1184641375
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2129327
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 2197
Street 2016 MILLENNIUM BLVD
City CORTLAND
State OH
ZIP 44410
Phone 330 372-1991
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 RACHEL JANE STREET

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