36D2172832 CLIA NUMBER - WALMART PHARMACY #10-1628

Laboratory Demographics

  • CLIA Code: 36D2172832
  • Facility Name: WALMART PHARMACY #10-1628
  • Facility Address: 5500 MILAN ROAD, SUITE 200
    SANDUSKY, OH
    ZIP 44870
  • Facility Phone: (419) 627-8283
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARILOU D. WILLIAMS

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CLIA Record

Field Name Field Value
CLIA Number 36D2172832
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1628
Street 5500 MILAN ROAD, SUITE 200
City SANDUSKY
State OH
ZIP 44870
Phone 4196278283
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 MARILOU D. WILLIAMS

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