22D2169234 CLIA NUMBER - WALMART PHARMACY 10- 2797

Laboratory Demographics

  • CLIA Code: 22D2169234
  • Facility Name: WALMART PHARMACY 10- 2797
  • Facility Address: 100 CHARLTON RD
    STURBRIDGE, MA
    ZIP 01566
  • Facility Phone: 508 347-6344
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASEY JAMES FAIRBROTHER
  • NPI Number: 1659398964
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169234
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 2797
Street 100 CHARLTON RD
City STURBRIDGE
State MA
ZIP 01566
Phone 508 347-6344
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 CASEY JAMES FAIRBROTHER

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