36D2129348 CLIA NUMBER - WALMART PHARMACY 10- 5355

Laboratory Demographics

  • CLIA Code: 36D2129348
  • Facility Name: WALMART PHARMACY 10- 5355
  • Facility Address: 1241 E COLUMBUS ST
    KENTON, OH
    ZIP 43326
  • Facility Phone: 419 675-1289
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE SWAVEL
  • NPI Number: 1306864053
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2129348
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 5355
Street 1241 E COLUMBUS ST
City KENTON
State OH
ZIP 43326
Phone 419 675-1289
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 DANIELLE SWAVEL

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