51D2146082 CLIA NUMBER - WALMART PHARMACY #10-2833

Laboratory Demographics

  • CLIA Code: 51D2146082
  • Facility Name: WALMART PHARMACY #10-2833
  • Facility Address: 1 WAL-MART LANE
    GRAFTON, WV
    ZIP 26354
  • Facility Phone: 304 265-6294
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ISAAC R. FLOHR
  • NPI Number: 1467479501
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2146082
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2833
Street 1 WAL-MART LANE
City GRAFTON
State WV
ZIP 26354
Phone 304 265-6294
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 ISAAC R. FLOHR

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