51D2127618 CLIA NUMBER - WALMART PHARMACY 10-2849

Laboratory Demographics

  • CLIA Code: 51D2127618
  • Facility Name: WALMART PHARMACY 10-2849
  • Facility Address: 320 MALLARD LANE
    MASON, WV
    ZIP 25260
  • Facility Phone: (304) 773-9186
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WHITNEY DOWNEY
  • NPI Number: 1578581260
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2127618
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2849
Street 320 MALLARD LANE
City MASON
State WV
ZIP 25260
Phone 3047739186
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 WHITNEY DOWNEY

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