07D2297388 CLIA NUMBER - WALMART #2331

Laboratory Demographics

  • CLIA Code: 07D2297388
  • Facility Name: WALMART #2331
  • Facility Address: 155 WATERFORD PARKWAY NO
    WATERFORD, CT
    ZIP 06385
  • Facility Phone: 479 371-2777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH HIGGINS
  • NPI Number: 1598783011
  • Taxonomy: 3336C0003X - Pharmacy

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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
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 JOSEPH HIGGINS

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This page was last updated on: 6/4/2025