36D2172897 CLIA NUMBER - WALMART PHARMACY #10-3641

Laboratory Demographics

  • CLIA Code: 36D2172897
  • Facility Name: WALMART PHARMACY #10-3641
  • Facility Address: 200 S TUTTLE RD
    SPRINGFIELD, OH
    ZIP 45505
  • Facility Phone: 937 325-2613
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE HUGHES
  • NPI Number: 1215955968
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2172897
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3641
Street 200 S TUTTLE RD
City SPRINGFIELD
State OH
ZIP 45505
Phone 937 325-2613
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 STEPHANIE HUGHES

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