36D2172492 CLIA NUMBER - WALMART PHARMACY #10-1445

Laboratory Demographics

  • CLIA Code: 36D2172492
  • Facility Name: WALMART PHARMACY #10-1445
  • Facility Address: 2826 EAST HARBOR RD
    PORT CLINTON, OH
    ZIP 43452
  • Facility Phone: (419) 732-3369
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID R. WALLS
  • NPI Number: 1437176617
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2172492
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1445
Street 2826 EAST HARBOR RD
City PORT CLINTON
State OH
ZIP 43452
Phone 4197323369
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 DAVID R. WALLS

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This page was last updated on: 5/18/2026