36D2157816 CLIA NUMBER - WALMART PHARMACY #10-2309

Laboratory Demographics

  • CLIA Code: 36D2157816
  • Facility Name: WALMART PHARMACY #10-2309
  • Facility Address: 8288 CINCINNATI DAYTON RD
    WEST CHESTER, OH
    ZIP 45069
  • Facility Phone: 513 777-3978
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY WILLIS
  • NPI Number: 1629096474
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2157816
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2309
Street 8288 CINCINNATI DAYTON RD
City WEST CHESTER
State OH
ZIP 45069
Phone 513 777-3978
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 ASHLEY WILLIS

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