22D2169254 CLIA NUMBER - WALMART PHARMACY 10- 2122

Laboratory Demographics

  • CLIA Code: 22D2169254
  • Facility Name: WALMART PHARMACY 10- 2122
  • Facility Address: 30 MEMORIAL DR
    AVON, MA
    ZIP 02322
  • Facility Phone: 508 427-4311
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY WILSON
  • NPI Number: 1467479758
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2169254
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 2122
Street 30 MEMORIAL DR
City AVON
State MA
ZIP 02322
Phone 508 427-4311
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 LINDSAY WILSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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