36D2159689 CLIA NUMBER - WALMART PHARMACY #10-1416

Laboratory Demographics

  • CLIA Code: 36D2159689
  • Facility Name: WALMART PHARMACY #10-1416
  • Facility Address: 1815 SCOTT ST
    NAPOLEON, OH
    ZIP 43545
  • Facility Phone: 419 599-0170
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RUTH GRAHAM
  • NPI Number: 1447277629
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2159689
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1416
Street 1815 SCOTT ST
City NAPOLEON
State OH
ZIP 43545
Phone 419 599-0170
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 RUTH GRAHAM

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