Healther Providers Data Logo

36D2180216 CLIA NUMBER - WALMART PHARMACY 10-3608

Laboratory Demographics

CLIA Number: 36D2180216

Facility Name: WALMART PHARMACY 10-3608

Facility Address:
6067 N RIDGE RD
MADISON, OH
ZIP 44057
Get Directions

Facility Phone Number: 440 417-0373

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1124045224

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 36D2180216
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3608
Street 6067 N RIDGE RD
City MADISON
State OH
ZIP 44057
Phone 440 417-0373
CertificateType 4
CertificateEffectiveDate 3/10/2024
CertificateExpirationDate 3/9/2026
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024