36D2159246 CLIA NUMBER - WALMART PHARMACY #10-1433

Laboratory Demographics

  • CLIA Code: 36D2159246
  • Facility Name: WALMART PHARMACY #10-1433
  • Facility Address: 1950 HAVEMANN RD
    CELINA, OH
    ZIP 45822
  • Facility Phone: 419 586-6177
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY N. BURNETT
  • NPI Number: 1265459440
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2159246
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1433
Street 1950 HAVEMANN RD
City CELINA
State OH
ZIP 45822
Phone 419 586-6177
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 ASHLEY N. BURNETT

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