51D2146058 CLIA NUMBER - WALMART PHARMACY #10-2792

Laboratory Demographics

  • CLIA Code: 51D2146058
  • Facility Name: WALMART PHARMACY #10-2792
  • Facility Address: 100 MCGINNIS DR
    WAYNE, WV
    ZIP 25570
  • Facility Phone: 304 272-3633
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHERYL L. WILLIAMS
  • NPI Number: 1649297789
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2146058
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2792
Street 100 MCGINNIS DR
City WAYNE
State WV
ZIP 25570
Phone 304 272-3633
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 CHERYL L. WILLIAMS

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This page was last updated on: 3/20/2025