36D2167182 CLIA NUMBER - WALMART PHARMACY #10-3792

Laboratory Demographics

  • CLIA Code: 36D2167182
  • Facility Name: WALMART PHARMACY #10-3792
  • Facility Address: 2687 N MEMORIAL DR
    LANCASTER, OH
    ZIP 43130
  • Facility Phone: 740 687-0323
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUSTIN C. ANDERSON
  • NPI Number: 1285810671
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2167182
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3792
Street 2687 N MEMORIAL DR
City LANCASTER
State OH
ZIP 43130
Phone 740 687-0323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Pharmacy
Lab Director DUSTIN C. ANDERSON

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