36D2172485 CLIA NUMBER - WALMART PHARMACY #10-1368

Laboratory Demographics

  • CLIA Code: 36D2172485
  • Facility Name: WALMART PHARMACY #10-1368
  • Facility Address: 11217 STATE ROUTE 41
    WEST UNION, OH
    ZIP 45693
  • Facility Phone: 937 544-7291
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW S. CADE
  • NPI Number: 1710904990
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2172485
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1368
Street 11217 STATE ROUTE 41
City WEST UNION
State OH
ZIP 45693
Phone 937 544-7291
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Pharmacy
Lab Director ANDREW S. CADE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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