22D2169249 CLIA NUMBER - WALMART PHARMACY 10-2341

Laboratory Demographics

  • CLIA Code: 22D2169249
  • Facility Name: WALMART PHARMACY 10-2341
  • Facility Address: 301 FALLS BLVD
    QUINCY, MA
    ZIP 02169
  • Facility Phone: 617 745-4393
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HUNG HOANG
  • NPI Number: 1013934322
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169249
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2341
Street 301 FALLS BLVD
City QUINCY
State MA
ZIP 02169
Phone 617 745-4393
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 HUNG HOANG

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