Healther Providers Data Logo

07D2297388 CLIA NUMBER - WALMART #2331

Laboratory Demographics

CLIA Number: 07D2297388

Facility Name: WALMART #2331

Facility Address:
155 WATERFORD PARKWAY NO
WATERFORD, CT
ZIP 06385
Get Directions

Facility Phone Number: 479 371-2777

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1598783011

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 07D2297388
LAB Type Pharmacy
Facility Name WALMART #2331
Street 155 WATERFORD PARKWAY NO
City WATERFORD
State CT
ZIP 06385
Phone 479 371-2777
CertificateType 4
CertificateEffectiveDate 1/16/2024
CertificateExpirationDate 1/15/2026
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024