36D2175535 CLIA NUMBER - WALMART PHARMACY 10-2447

Laboratory Demographics

  • CLIA Code: 36D2175535
  • Facility Name: WALMART PHARMACY 10-2447
  • Facility Address: 2322 FERGUSON RD
    CINCINNATI, OH
    ZIP 45238
  • Facility Phone: 513 922-8441
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMMANUEL MENSAH
  • NPI Number: 1568489755
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2175535
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2447
Street 2322 FERGUSON RD
City CINCINNATI
State OH
ZIP 45238
Phone 513 922-8441
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 EMMANUEL MENSAH

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