22D2169223 CLIA NUMBER - WALMART PHARMACY 10- 2012

Laboratory Demographics

  • CLIA Code: 22D2169223
  • Facility Name: WALMART PHARMACY 10- 2012
  • Facility Address: 742 MAIN STREET
    NORTH OXFORD, MA
    ZIP 01537
  • Facility Phone: 508 987-1111
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRETT BERGERON
  • NPI Number: 1912924200
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169223
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 2012
Street 742 MAIN STREET
City NORTH OXFORD
State MA
ZIP 01537
Phone 508 987-1111
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 BRETT BERGERON

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