36D2176405 CLIA NUMBER - WALMART PHARMACY 10-4609

Laboratory Demographics

  • CLIA Code: 36D2176405
  • Facility Name: WALMART PHARMACY 10-4609
  • Facility Address: 10240 COLERAIN AVE
    CINCINNATI, OH
    ZIP 45251
  • Facility Phone: 513 385-0083
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOUGLAS FOLKENS
  • NPI Number: 1861674509
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2176405
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4609
Street 10240 COLERAIN AVE
City CINCINNATI
State OH
ZIP 45251
Phone 513 385-0083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Pharmacy
Lab Director DOUGLAS FOLKENS

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