36D2157819 CLIA NUMBER - WALMART PHARMACY 1410

Laboratory Demographics

  • CLIA Code: 36D2157819
  • Facility Name: WALMART PHARMACY 1410
  • Facility Address: 1801 WEST MAIN STREET
    TROY, OH
    ZIP 45373
  • Facility Phone: 937 339-6335
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DIANNE M. OLDIGES
  • NPI Number: 1174540355
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2157819
LAB Type Pharmacy
Facility Name WALMART PHARMACY 1410
Street 1801 WEST MAIN STREET
City TROY
State OH
ZIP 45373
Phone 937 339-6335
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 DIANNE M. OLDIGES

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