36D2172828 CLIA NUMBER - WALMART PHARMACY #10-2400

Laboratory Demographics

  • CLIA Code: 36D2172828
  • Facility Name: WALMART PHARMACY #10-2400
  • Facility Address: 85 RIVER TRACE LANE
    CHILLICOTHE, OH
    ZIP 45601
  • Facility Phone: 740 774-2343
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REGINA D. TAKACS
  • NPI Number: 1013934207
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2172828
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2400
Street 85 RIVER TRACE LANE
City CHILLICOTHE
State OH
ZIP 45601
Phone 740 774-2343
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Pharmacy
Lab Director REGINA D. TAKACS

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