36D2129342 CLIA NUMBER - WALMART PHARMACY 10- 3282

Laboratory Demographics

  • CLIA Code: 36D2129342
  • Facility Name: WALMART PHARMACY 10- 3282
  • Facility Address: 12910 STATE ROUTE 664 S
    LOGAN, OH
    ZIP 43138
  • Facility Phone: 740 380-0469
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY D. FIGLIOLA
  • NPI Number: 1376560573
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2129342
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 3282
Street 12910 STATE ROUTE 664 S
City LOGAN
State OH
ZIP 43138
Phone 740 380-0469
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 ANTHONY D. FIGLIOLA

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