51D2127619 CLIA NUMBER - WALMART PHARMACY 10-2684

Laboratory Demographics

  • CLIA Code: 51D2127619
  • Facility Name: WALMART PHARMACY 10-2684
  • Facility Address: 1142 S BRIDGE ST
    NEW MARTINSVILLE, WV
    ZIP 26155
  • Facility Phone: (304) 455-6473
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIN JERICHO
  • NPI Number: 1730106873
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2127619
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2684
Street 1142 S BRIDGE ST
City NEW MARTINSVILLE
State WV
ZIP 26155
Phone 3044556473
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 ERIN JERICHO

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This page was last updated on: 5/15/2026