36D2172896 CLIA NUMBER - WALMART PHARMACY #10-3486

Laboratory Demographics

  • CLIA Code: 36D2172896
  • Facility Name: WALMART PHARMACY #10-3486
  • Facility Address: 929 E STATE ST
    ATHENS, OH
    ZIP 45701
  • Facility Phone: 740 594-3628
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HAROLD J. PAYTON II
  • NPI Number: 1851318059
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2172896
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3486
Street 929 E STATE ST
City ATHENS
State OH
ZIP 45701
Phone 740 594-3628
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 HAROLD J. PAYTON II

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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