36D2167192 CLIA NUMBER - WALMART PHARMACY #10-5184

Laboratory Demographics

  • CLIA Code: 36D2167192
  • Facility Name: WALMART PHARMACY #10-5184
  • Facility Address: 6674 WINCHESTER BLVD
    CANAL WINCHESTER, OH
    ZIP 43110
  • Facility Phone: 614 833-5663
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERICA LAFORTE
  • NPI Number: 1205853306
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2167192
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5184
Street 6674 WINCHESTER BLVD
City CANAL WINCHESTER
State OH
ZIP 43110
Phone 614 833-5663
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 ERICA LAFORTE

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