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36D2175418 CLIA NUMBER - WALMART PHARMACY #10-2362

Laboratory Demographics

CLIA Number: 36D2175418

Facility Name: WALMART PHARMACY #10-2362

Facility Address:
1868 WARRENSVILLE CENTER RD
SOUTH EUCLID, OH
ZIP 44121
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Facility Phone Number: 216 382-2358

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1831116037

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 36D2175418
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2362
Street 1868 WARRENSVILLE CENTER RD
City SOUTH EUCLID
State OH
ZIP 44121
Phone 216 382-2358
CertificateType 4
CertificateEffectiveDate 11/20/2023
CertificateExpirationDate 11/19/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024