36D2175541 CLIA NUMBER - WALMART PHARMACY 10-2541

Laboratory Demographics

  • CLIA Code: 36D2175541
  • Facility Name: WALMART PHARMACY 10-2541
  • Facility Address: 2700 W STATE ST
    ALLIANCE, OH
    ZIP 44601
  • Facility Phone: 330 821-0449
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD KUKORA
  • NPI Number: 1295752491
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2175541
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2541
Street 2700 W STATE ST
City ALLIANCE
State OH
ZIP 44601
Phone 330 821-0449
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 RICHARD KUKORA

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