36D2182375 CLIA NUMBER - WALMART PHARMACY #10-5285

Laboratory Demographics

  • CLIA Code: 36D2182375
  • Facility Name: WALMART PHARMACY #10-5285
  • Facility Address: 3200 ATLANTIC BLVD NE
    CANTON, OH
    ZIP 44705
  • Facility Phone: 330 489-9140
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY TEEL
  • NPI Number: 1750308854
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2182375
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5285
Street 3200 ATLANTIC BLVD NE
City CANTON
State OH
ZIP 44705
Phone 330 489-9140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Pharmacy
Lab Director MARY TEEL

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