51D2127606 CLIA NUMBER - WALMART PHARMACY 10-5319

Laboratory Demographics

  • CLIA Code: 51D2127606
  • Facility Name: WALMART PHARMACY 10-5319
  • Facility Address: 1881 ROBERT C BYRD DR
    MAC ARTHUR, WV
    ZIP 25873
  • Facility Phone: 304 256-6496
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARL FITZWATER
  • NPI Number: 1801814595
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 51D2127606
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5319
Street 1881 ROBERT C BYRD DR
City MAC ARTHUR
State WV
ZIP 25873
Phone 304 256-6496
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 CARL FITZWATER

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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