51D2146103 CLIA NUMBER - WALMART PHARMACY #10-4277

Laboratory Demographics

  • CLIA Code: 51D2146103
  • Facility Name: WALMART PHARMACY #10-4277
  • Facility Address: 167 PROGRESS WAY
    HURRICANE, WV
    ZIP 25526
  • Facility Phone: 304 562-3193
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JAMES A. PAULEY
  • NPI Number: 1487838132
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2146103
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-4277
Street 167 PROGRESS WAY
City HURRICANE
State WV
ZIP 25526
Phone 304 562-3193
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. JAMES A. PAULEY

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