51D2127600 CLIA NUMBER - WALMART PHARMACY 10-1522

Laboratory Demographics

  • CLIA Code: 51D2127600
  • Facility Name: WALMART PHARMACY 10-1522
  • Facility Address: 40 JETT LANE
    ELKINS, WV
    ZIP 26241
  • Facility Phone: 304 636-3728
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMIAH WAYBRIGHT
  • NPI Number: 1548287675
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2127600
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1522
Street 40 JETT LANE
City ELKINS
State WV
ZIP 26241
Phone 304 636-3728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Pharmacy
Lab Director JEREMIAH WAYBRIGHT

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