51D2145937 CLIA NUMBER - WALMART PHARMACY #10-1653

Laboratory Demographics

CLIA Number: 51D2145937

Facility Name: WALMART PHARMACY #10-1653

Facility Address:
110 BERLIN RD
WESTON, WV
ZIP 26452
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Facility Phone Number: 304 269-1549

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1275550303

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	51D2145937
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY #10-1653
Street	110 BERLIN RD
City	WESTON
State	WV
ZIP	26452
Phone	304 269-1549
CertificateType	4
CertificateEffectiveDate	3/19/2024
CertificateExpirationDate	3/18/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024