36D2167084 CLIA NUMBER - WALMART PHARMACY #10-1594

Laboratory Demographics

  • CLIA Code: 36D2167084
  • Facility Name: WALMART PHARMACY #10-1594
  • Facility Address: 911 HEBRON RD
    HEATH, OH
    ZIP 43056
  • Facility Phone: 740 522-5841
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLE DYGERT
  • NPI Number: 1518984798
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2167084
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1594
Street 911 HEBRON RD
City HEATH
State OH
ZIP 43056
Phone 740 522-5841
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Pharmacy
Lab Director KYLE DYGERT

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