07D2297382 CLIA NUMBER - WALMART #2232

Laboratory Demographics

  • CLIA Code: 07D2297382
  • Facility Name: WALMART #2232
  • Facility Address: 120 COMMERCIAL PKWY
    BRANFORD, CT
    ZIP 06405
  • Facility Phone: 479 371-2777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JORDAN WELCH
  • NPI Number: 1821865999
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 07D2297382
LAB Type Pharmacy
Facility Name WALMART #2232
Street 120 COMMERCIAL PKWY
City BRANFORD
State CT
ZIP 06405
Phone 479 371-2777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Pharmacy
Lab Director JORDAN WELCH

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