36D2156883 CLIA NUMBER - WALMART PHARMACY #10-1539

Laboratory Demographics

  • CLIA Code: 36D2156883
  • Facility Name: WALMART PHARMACY #10-1539
  • Facility Address: 359 N LEXINGTON SPRINGMILL RD
    ONTARIO, OH
    ZIP 44906
  • Facility Phone: 419 529-2487
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN SHLPPER
  • NPI Number: 1992715056
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 36D2156883
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1539
Street 359 N LEXINGTON SPRINGMILL RD
City ONTARIO
State OH
ZIP 44906
Phone 419 529-2487
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Pharmacy
Lab Director MEGAN SHLPPER

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