51D2146102 CLIA NUMBER - WALMART PHARMACY #10-3215

Laboratory Demographics

  • CLIA Code: 51D2146102
  • Facility Name: WALMART PHARMACY #10-3215
  • Facility Address: 5605 UNIVERSITY TOWN CENTER DRIVE
    MORGANTOWN, WV
    ZIP 26501
  • Facility Phone: 304 598-3239
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW P. BAILEY
  • NPI Number: 1649364795
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2146102
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3215
Street 5605 UNIVERSITY TOWN CENTER DRIVE
City MORGANTOWN
State WV
ZIP 26501
Phone 304 598-3239
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 MATTHEW P. BAILEY

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