36D2157817 CLIA NUMBER - WALMART PHARMACY #10-1264

Laboratory Demographics

  • CLIA Code: 36D2157817
  • Facility Name: WALMART PHARMACY #10-1264
  • Facility Address: 2281 US HWY 68 S
    BELLEFONTAINE, OH
    ZIP 43311
  • Facility Phone: 937 592-4700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIZA F. HENSLEY
  • NPI Number: 1770500944
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2157817
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1264
Street 2281 US HWY 68 S
City BELLEFONTAINE
State OH
ZIP 43311
Phone 937 592-4700
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 LIZA F. HENSLEY

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