36D2157778 CLIA NUMBER - WALMART PHARMACY #10-3571

Laboratory Demographics

  • CLIA Code: 36D2157778
  • Facility Name: WALMART PHARMACY #10-3571
  • Facility Address: 2900 TOWNE BLVD
    MIDDLETOWN, OH
    ZIP 45044
  • Facility Phone: 513 423-4882
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MITUL A. PATEL
  • NPI Number: 1205853405
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2157778
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3571
Street 2900 TOWNE BLVD
City MIDDLETOWN
State OH
ZIP 45044
Phone 513 423-4882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Pharmacy
Lab Director MITUL A. PATEL

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