36D2175519 CLIA NUMBER - WALMART PHARMACY 10-5066

Laboratory Demographics

  • CLIA Code: 36D2175519
  • Facility Name: WALMART PHARMACY 10-5066
  • Facility Address: 35901 CHESTER RD
    AVON, OH
    ZIP 44011
  • Facility Phone: 440 937-4760
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA JOBE
  • NPI Number: 1932126133
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2175519
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5066
Street 35901 CHESTER RD
City AVON
State OH
ZIP 44011
Phone 440 937-4760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Pharmacy
Lab Director LISA JOBE

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