36D2176671 CLIA NUMBER - WALMART PHARMACY #10-1707

Laboratory Demographics

  • CLIA Code: 36D2176671
  • Facility Name: WALMART PHARMACY #10-1707
  • Facility Address: 16280 DRESDEN AVE
    EAST LIVERPOOL, OH
    ZIP 43920
  • Facility Phone: 330 386-9813
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA J. YANEK
  • NPI Number: 1336166511
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2176671
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1707
Street 16280 DRESDEN AVE
City EAST LIVERPOOL
State OH
ZIP 43920
Phone 330 386-9813
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Pharmacy
Lab Director AMANDA J. YANEK

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