51D2127609 CLIA NUMBER - WALMART PHARMACY 10-2933

Laboratory Demographics

  • CLIA Code: 51D2127609
  • Facility Name: WALMART PHARMACY 10-2933
  • Facility Address: 201 GREASY RIDGE RD
    PRINCETON, WV
    ZIP 24739
  • Facility Phone: (304) 431-2105
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CODY DELONG
  • NPI Number: 1093732133
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2127609
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2933
Street 201 GREASY RIDGE RD
City PRINCETON
State WV
ZIP 24739
Phone 3044312105
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 CODY DELONG

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This page was last updated on: 5/18/2026