51D2146777 CLIA NUMBER - WALMART PHARMACY #10-2244

Laboratory Demographics

  • CLIA Code: 51D2146777
  • Facility Name: WALMART PHARMACY #10-2244
  • Facility Address: 3333 US RT 60
    HUNTINGTON, WV
    ZIP 25705
  • Facility Phone: 304 525-8889
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACY GOFF
  • NPI Number: 1396851226
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 51D2146777
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2244
Street 3333 US RT 60
City HUNTINGTON
State WV
ZIP 25705
Phone 304 525-8889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Pharmacy
Lab Director STACY GOFF

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