36D2157818 CLIA NUMBER - WALMART PHARMACY #10-1407

Laboratory Demographics

  • CLIA Code: 36D2157818
  • Facility Name: WALMART PHARMACY #10-1407
  • Facility Address: 1530 WALMART DR
    LEBANON, OH
    ZIP 45036
  • Facility Phone: 513 932-6210
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL W. STALKER
  • NPI Number: 1538186713
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2157818
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1407
Street 1530 WALMART DR
City LEBANON
State OH
ZIP 45036
Phone 513 932-6210
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 DANIEL W. STALKER

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