36D2175545 CLIA NUMBER - WALMART PHARMACY 10-2914

Laboratory Demographics

  • CLIA Code: 36D2175545
  • Facility Name: WALMART PHARMACY 10-2914
  • Facility Address: 1 MASSILLON MARKETPLACE DR SW
    MASSILLON, OH
    ZIP 44646
  • Facility Phone: 330 834-0552
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW E. COMPANY
  • NPI Number: 1194742395
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2175545
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2914
Street 1 MASSILLON MARKETPLACE DR SW
City MASSILLON
State OH
ZIP 44646
Phone 330 834-0552
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 MATTHEW E. COMPANY

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