36D2175532 CLIA NUMBER - WALMART PHARMACY 10-2316

Laboratory Demographics

  • CLIA Code: 36D2175532
  • Facility Name: WALMART PHARMACY 10-2316
  • Facility Address: 24801 BROOKPARK RD
    NORTH OLMSTED, OH
    ZIP 44070
  • Facility Phone: (440) 979-9416
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT PUNI
  • NPI Number: 1104843390
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2175532
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2316
Street 24801 BROOKPARK RD
City NORTH OLMSTED
State OH
ZIP 44070
Phone 4409799416
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2025
Certificate Expiration Date 11/21/2027
Facility Type Pharmacy
Lab Director ROBERT PUNI

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This page was last updated on: 5/18/2026