36D2175441 CLIA NUMBER - WALMART PHARMACY 10-1894

Laboratory Demographics

  • CLIA Code: 36D2175441
  • Facility Name: WALMART PHARMACY 10-1894
  • Facility Address: 4141 PEARL RD
    MEDINA, OH
    ZIP 44256
  • Facility Phone: 330 723-1511
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER CONKLIN
  • NPI Number: 1912924101
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2175441
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1894
Street 4141 PEARL RD
City MEDINA
State OH
ZIP 44256
Phone 330 723-1511
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 CHRISTOPHER CONKLIN

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