36D2159243 CLIA NUMBER - WALMART PHARMACY #10-1330

Laboratory Demographics

  • CLIA Code: 36D2159243
  • Facility Name: WALMART PHARMACY #10-1330
  • Facility Address: 2450 ALLENTOWN RD
    LIMA, OH
    ZIP 45805
  • Facility Phone: 419 224-3168
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TYSHA BADER
  • NPI Number: 1538538772
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 36D2159243
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1330
Street 2450 ALLENTOWN RD
City LIMA
State OH
ZIP 45805
Phone 419 224-3168
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 TYSHA BADER

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