51D2146052 CLIA NUMBER - WALMART PHARMACY #10-2083

Laboratory Demographics

  • CLIA Code: 51D2146052
  • Facility Name: WALMART PHARMACY #10-2083
  • Facility Address: 75 RETAIL CIRCLE
    MORGANTOWN, WV
    ZIP 26508
  • Facility Phone: 304 292-4786
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNA LAW
  • NPI Number: 1396858189
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 51D2146052
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2083
Street 75 RETAIL CIRCLE
City MORGANTOWN
State WV
ZIP 26508
Phone 304 292-4786
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Pharmacy
Lab Director JENNA LAW

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This page was last updated on: 9/29/2025