22D2169231 CLIA NUMBER - WALMART PHARMACY 10- 2103

Laboratory Demographics

  • CLIA Code: 22D2169231
  • Facility Name: WALMART PHARMACY 10- 2103
  • Facility Address: 550 PROVIDENCE HWY
    WALPOLE, MA
    ZIP 02081
  • Facility Phone: 508 668-5959
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FOLEY
  • NPI Number: 1649297938
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169231
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 2103
Street 550 PROVIDENCE HWY
City WALPOLE
State MA
ZIP 02081
Phone 508 668-5959
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 TIMOTHY FOLEY

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