51D2146104 CLIA NUMBER - WALMART PHARMACY #10-5296

Laboratory Demographics

  • CLIA Code: 51D2146104
  • Facility Name: WALMART PHARMACY #10-5296
  • Facility Address: 25 NICHOLS DR
    BARBOURSVILLE, WV
    ZIP 25504
  • Facility Phone: 304 733-6188
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. RICHARD S. CARNEY
  • NPI Number: 1811914955
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2146104
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5296
Street 25 NICHOLS DR
City BARBOURSVILLE
State WV
ZIP 25504
Phone 304 733-6188
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. RICHARD S. CARNEY

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