36D2175548 CLIA NUMBER - WALMART PHARMACY 10-3250

Laboratory Demographics

  • CLIA Code: 36D2175548
  • Facility Name: WALMART PHARMACY 10-3250
  • Facility Address: 7235 MARKET PLACE DR
    BAINBRIDGE, OH
    ZIP 45612
  • Facility Phone: 330 562-7084
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN KRESSE
  • NPI Number: 1780602532
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2175548
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3250
Street 7235 MARKET PLACE DR
City BAINBRIDGE
State OH
ZIP 45612
Phone 330 562-7084
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 MEGAN KRESSE

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