36D2175547 CLIA NUMBER - WALMART PHARMACY 10-2966

Laboratory Demographics

  • CLIA Code: 36D2175547
  • Facility Name: WALMART PHARMACY 10-2966
  • Facility Address: 222 SMOKERISE DR
    WADSWORTH, OH
    ZIP 44281
  • Facility Phone: (330) 336-5274
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW SARIS
  • NPI Number: 1407874258
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2175547
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2966
Street 222 SMOKERISE DR
City WADSWORTH
State OH
ZIP 44281
Phone 3303365274
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 MATTHEW SARIS

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