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36D2175524 CLIA NUMBER - WALMART PHARMACY 10-1839

Laboratory Demographics

CLIA Number: 36D2175524

Facility Name: WALMART PHARMACY 10-1839

Facility Address:
4380 LEAVITT RD
LORAIN, OH
ZIP 44053
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Facility Phone Number: 440 324-4205

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1194742387

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 36D2175524
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1839
Street 4380 LEAVITT RD
City LORAIN
State OH
ZIP 44053
Phone 440 324-4205
CertificateType 4
CertificateEffectiveDate 11/22/2023
CertificateExpirationDate 11/21/2025
FacilityType Waiver

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