36D2159258 CLIA NUMBER - WALMART PHARMACY #10-2429

Laboratory Demographics

  • CLIA Code: 36D2159258
  • Facility Name: WALMART PHARMACY #10-2429
  • Facility Address: 2100 N BECHTLE AVE
    SPRINGFIELD, OH
    ZIP 45504
  • Facility Phone: 937 399-2045
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVE TAYLOR
  • NPI Number: 1538187380
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2159258
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2429
Street 2100 N BECHTLE AVE
City SPRINGFIELD
State OH
ZIP 45504
Phone 937 399-2045
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 STEVE TAYLOR

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