36D2165094 CLIA NUMBER - WALMART PHARMACY #10-1504

Laboratory Demographics

  • CLIA Code: 36D2165094
  • Facility Name: WALMART PHARMACY #10-1504
  • Facility Address: 8800 KINGSRIDGE DR
    DAYTON, OH
    ZIP 45458
  • Facility Phone: (937) 435-8533
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICTOR CIARAMITARO
  • NPI Number: 1619994894
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2165094
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1504
Street 8800 KINGSRIDGE DR
City DAYTON
State OH
ZIP 45458
Phone 9374358533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Pharmacy
Lab Director VICTOR CIARAMITARO

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