51D2146101 CLIA NUMBER - WALMART PHARMACY #10-2852

Laboratory Demographics

  • CLIA Code: 51D2146101
  • Facility Name: WALMART PHARMACY #10-2852
  • Facility Address: 10 WALMART DR
    MOUNDSVILLE, WV
    ZIP 26041
  • Facility Phone: 304 843-1580
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. WALTER R. YATES
  • NPI Number: 1902997950
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 51D2146101
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2852
Street 10 WALMART DR
City MOUNDSVILLE
State WV
ZIP 26041
Phone 304 843-1580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Pharmacy
Lab Director MR. WALTER R. YATES

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