36D2129339 CLIA NUMBER - WALMART PHARMACY 10- 3262

Laboratory Demographics

  • CLIA Code: 36D2129339
  • Facility Name: WALMART PHARMACY 10- 3262
  • Facility Address: 61205 SOUTHGATE RD
    CAMBRIDGE, OH
    ZIP 43725
  • Facility Phone: 740 439-5903
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE CARMICHAEL
  • NPI Number: 1467479667
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2129339
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 3262
Street 61205 SOUTHGATE RD
City CAMBRIDGE
State OH
ZIP 43725
Phone 740 439-5903
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 MICHELLE CARMICHAEL

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