36D2157810 CLIA NUMBER - WALMART PHARMACY #10-1913

Laboratory Demographics

  • CLIA Code: 36D2157810
  • Facility Name: WALMART PHARMACY #10-1913
  • Facility Address: 131 W GYPSY LANE RD
    BOWLING GREEN, OH
    ZIP 43402
  • Facility Phone: 419 352-3776
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLAYTON STEVENS
  • NPI Number: 1801814652
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2157810
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1913
Street 131 W GYPSY LANE RD
City BOWLING GREEN
State OH
ZIP 43402
Phone 419 352-3776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Pharmacy
Lab Director CLAYTON STEVENS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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