36D2172494 CLIA NUMBER - WALMART PHARMACY #10-1519

Laboratory Demographics

  • CLIA Code: 36D2172494
  • Facility Name: WALMART PHARMACY #10-1519
  • Facility Address: 100 WALMART DR
    JACKSON, OH
    ZIP 45640
  • Facility Phone: (740) 288-2700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN M. COLBERT
  • NPI Number: 1164449344
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2172494
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1519
Street 100 WALMART DR
City JACKSON
State OH
ZIP 45640
Phone 7402882700
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 JOHN M. COLBERT

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