22D2169233 CLIA NUMBER - WALMART PHARMACY 10- 3409

Laboratory Demographics

  • CLIA Code: 22D2169233
  • Facility Name: WALMART PHARMACY 10- 3409
  • Facility Address: 20 SOOJIAN DRIVE
    LEICESTER, MA
    ZIP 01524
  • Facility Phone: 508 892-4058
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY L. HEATH
  • NPI Number: 1932232030
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169233
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 3409
Street 20 SOOJIAN DRIVE
City LEICESTER
State MA
ZIP 01524
Phone 508 892-4058
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 AMY L. HEATH

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