36D2159656 CLIA NUMBER - WALMART PHARMACY #10-3812

Laboratory Demographics

  • CLIA Code: 36D2159656
  • Facility Name: WALMART PHARMACY #10-3812
  • Facility Address: 2700 BETHEL RD
    COLUMBUS, OH
    ZIP 43220
  • Facility Phone: (614) 326-0083
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA A. FERGUSON
  • NPI Number: 1740207943
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2159656
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3812
Street 2700 BETHEL RD
City COLUMBUS
State OH
ZIP 43220
Phone 6143260083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Pharmacy
Lab Director MELISSA A. FERGUSON

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This page was last updated on: 5/18/2026