36D2159658 CLIA NUMBER - WALMART PHARMACY #10-3809

Laboratory Demographics

  • CLIA Code: 36D2159658
  • Facility Name: WALMART PHARMACY #10-3809
  • Facility Address: 1855 E WYANDOT AVE
    UPPER SANDUSKY, OH
    ZIP 43351
  • Facility Phone: 419 294-3404
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAMILA PARKER
  • NPI Number: 1760409866
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2159658
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3809
Street 1855 E WYANDOT AVE
City UPPER SANDUSKY
State OH
ZIP 43351
Phone 419 294-3404
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 TAMILA PARKER

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