51D2127621 CLIA NUMBER - WALMART PHARMACY 10-2610

Laboratory Demographics

  • CLIA Code: 51D2127621
  • Facility Name: WALMART PHARMACY 10-2610
  • Facility Address: 77 NORMAN MORGAN BLVD
    LOGAN, WV
    ZIP 25601
  • Facility Phone: (304) 752-7459
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MISTY M. WORKMAN
  • NPI Number: 1821015967
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2127621
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2610
Street 77 NORMAN MORGAN BLVD
City LOGAN
State WV
ZIP 25601
Phone 3047527459
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 MISTY M. WORKMAN

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