36D2175523 CLIA NUMBER - WALMART PHARMACY 10-1478

Laboratory Demographics

  • CLIA Code: 36D2175523
  • Facility Name: WALMART PHARMACY 10-1478
  • Facility Address: 354 PRIVATE DRIVE 288
    SOUTH POINT, OH
    ZIP 45680
  • Facility Phone: 740 894-3517
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROY F. MCCLANAHAN
  • NPI Number: 1154348332
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2175523
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1478
Street 354 PRIVATE DRIVE 288
City SOUTH POINT
State OH
ZIP 45680
Phone 740 894-3517
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 ROY F. MCCLANAHAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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