36D2129350 CLIA NUMBER - WALMART PHARMACY 10- 5387

Laboratory Demographics

  • CLIA Code: 36D2129350
  • Facility Name: WALMART PHARMACY 10- 5387
  • Facility Address: 15050 S SPRINGDALE AVE
    MIDDLEFIELD, OH
    ZIP 44062
  • Facility Phone: 440 632-0460
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT W. REINHARD
  • NPI Number: 1306863402
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2129350
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 5387
Street 15050 S SPRINGDALE AVE
City MIDDLEFIELD
State OH
ZIP 44062
Phone 440 632-0460
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 ROBERT W. REINHARD

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