51D2160769 CLIA NUMBER - WALMART PHARMACY #10-1499

Laboratory Demographics

  • CLIA Code: 51D2160769
  • Facility Name: WALMART PHARMACY #10-1499
  • Facility Address: 1976 JEFFERSON ST N
    LEWISBURG, WV
    ZIP 24901
  • Facility Phone: 304 645-5280
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREGORY GLOVER
  • NPI Number: 1932119021
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 51D2160769
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1499
Street 1976 JEFFERSON ST N
City LEWISBURG
State WV
ZIP 24901
Phone 304 645-5280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Pharmacy
Lab Director GREGORY GLOVER

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