22D2169218 CLIA NUMBER - WALMART PHARMACY 10- 1918

Laboratory Demographics

  • CLIA Code: 22D2169218
  • Facility Name: WALMART PHARMACY 10- 1918
  • Facility Address: 250 HARTFORD AVE
    BELLINGHAM, MA
    ZIP 02019
  • Facility Phone: 508 966-0807
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEMETRIOS SOTIRIOS COSTARELLOS
  • NPI Number: 1386661676
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169218
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 1918
Street 250 HARTFORD AVE
City BELLINGHAM
State MA
ZIP 02019
Phone 508 966-0807
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Pharmacy
Lab Director DEMETRIOS SOTIRIOS COSTARELLOS

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