36D2175423 CLIA NUMBER - WALMART PHARMACY 10-3342

Laboratory Demographics

  • CLIA Code: 36D2175423
  • Facility Name: WALMART PHARMACY 10-3342
  • Facility Address: 1815 E OHIO PIKE
    AMELIA, OH
    ZIP 45102
  • Facility Phone: 513 797-1250
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLEY T. DU-CUNNINGHAM
  • NPI Number: 1215954318
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2175423
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3342
Street 1815 E OHIO PIKE
City AMELIA
State OH
ZIP 45102
Phone 513 797-1250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Pharmacy
Lab Director KELLEY T. DU-CUNNINGHAM

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