36D2159668 CLIA NUMBER - WALMART PHARMACY #10-2725

Laboratory Demographics

  • CLIA Code: 36D2159668
  • Facility Name: WALMART PHARMACY #10-2725
  • Facility Address: 8659 COLUMBUS PIKE
    LEWIS CENTER, OH
    ZIP 43035
  • Facility Phone: (740) 657-1341
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JORDAN E. RICHARDS-ROE
  • NPI Number: 1659398857
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2159668
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2725
Street 8659 COLUMBUS PIKE
City LEWIS CENTER
State OH
ZIP 43035
Phone 7406571341
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 JORDAN E. RICHARDS-ROE

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