36D2159245 CLIA NUMBER - WALMART PHARMACY #10-1333

Laboratory Demographics

  • CLIA Code: 36D2159245
  • Facility Name: WALMART PHARMACY #10-1333
  • Facility Address: 301 TOWN CENTER BLVD
    VAN WERT, OH
    ZIP 45891
  • Facility Phone: (706) 335-7818
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHELIE D. GAERKE
  • NPI Number: 1104843523
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2159245
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1333
Street 301 TOWN CENTER BLVD
City VAN WERT
State OH
ZIP 45891
Phone 7063357818
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 SHELIE D. GAERKE

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This page was last updated on: 5/15/2026