36D2159242 CLIA NUMBER - WALMART PHARMACY #10-1239

Laboratory Demographics

  • CLIA Code: 36D2159242
  • Facility Name: WALMART PHARMACY #10-1239
  • Facility Address: 1840 E US HWY 36
    URBANA, OH
    ZIP 43078
  • Facility Phone: 937 653-5313
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEATHER S. TOWNSEND
  • NPI Number: 1033243969
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 36D2159242
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1239
Street 1840 E US HWY 36
City URBANA
State OH
ZIP 43078
Phone 937 653-5313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Pharmacy
Lab Director HEATHER S. TOWNSEND

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