36D2172487 CLIA NUMBER - WALMART PHARMACY #10-1427

Laboratory Demographics

  • CLIA Code: 36D2172487
  • Facility Name: WALMART PHARMACY #10-1427
  • Facility Address: 1470 S COURT ST
    CIRCLEVILLE, OH
    ZIP 43113
  • Facility Phone: 740 474-9898
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JILLIAN SOUDERS
  • NPI Number: 1629095807
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2172487
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1427
Street 1470 S COURT ST
City CIRCLEVILLE
State OH
ZIP 43113
Phone 740 474-9898
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 JILLIAN SOUDERS

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