36D2159697 CLIA NUMBER - WALMART PHARMACY #10-5374

Laboratory Demographics

  • CLIA Code: 36D2159697
  • Facility Name: WALMART PHARMACY #10-5374
  • Facility Address: 100A E WASHINGTON JACKSON ROAD
    EATON, OH
    ZIP 45320
  • Facility Phone: 937 456-1777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA J. ROBINSON
  • NPI Number: 1861419962
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2159697
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5374
Street 100A E WASHINGTON JACKSON ROAD
City EATON
State OH
ZIP 45320
Phone 937 456-1777
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 LAURA J. ROBINSON

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