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07D2297495 CLIA NUMBER - WALMART # 2371

Laboratory Demographics

CLIA Number: 07D2297495

Facility Name: WALMART # 2371

Facility Address:
844 N COLONY RD
WALLINGFORD, CT
ZIP 06492
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Facility Phone Number: 479 371-2777

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1174540462

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 07D2297495
LAB Type Pharmacy
Facility Name WALMART # 2371
Street 844 N COLONY RD
City WALLINGFORD
State CT
ZIP 06492
Phone 479 371-2777
CertificateType 4
CertificateEffectiveDate 1/17/2024
CertificateExpirationDate 1/16/2026
FacilityType Waiver

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