36D2159696 CLIA NUMBER - WALMART PHARMACY #10-3765

Laboratory Demographics

  • CLIA Code: 36D2159696
  • Facility Name: WALMART PHARMACY #10-3765
  • Facility Address: 1300 EAST ASH STREET
    PIQUA, OH
    ZIP 45356
  • Facility Phone: 937 615-9968
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EVAN MCGEE
  • NPI Number: 1033136130
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2159696
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3765
Street 1300 EAST ASH STREET
City PIQUA
State OH
ZIP 45356
Phone 937 615-9968
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 EVAN MCGEE

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