36D2167194 CLIA NUMBER - WALMART PHARMACY #10-5857

Laboratory Demographics

CLIA Number: 36D2167194

Facility Name: WALMART PHARMACY #10-5857

Facility Address:
50 E SCHROCK RD
WESTERVILLE, OH
ZIP 43081
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Facility Phone Number: 614 948-4402

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1225475908

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	36D2167194
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY #10-5857
Street	50 E SCHROCK RD
City	WESTERVILLE
State	OH
ZIP	43081
Phone	614 948-4402
CertificateType	4
CertificateEffectiveDate	6/4/2023
CertificateExpirationDate	6/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024