22D2169266 CLIA NUMBER - WALMART PHARMACY 10- 5448

Laboratory Demographics

  • CLIA Code: 22D2169266
  • Facility Name: WALMART PHARMACY 10- 5448
  • Facility Address: 160 BROADWAY
    RAYNHAM, MA
    ZIP 02767
  • Facility Phone: 508 692-6751
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA ROWLAND
  • NPI Number: 1336570381
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169266
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 5448
Street 160 BROADWAY
City RAYNHAM
State MA
ZIP 02767
Phone 508 692-6751
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 JESSICA ROWLAND

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