22D2169294 CLIA NUMBER - WALMART PHARMACY 10- 2222

Laboratory Demographics

  • CLIA Code: 22D2169294
  • Facility Name: WALMART PHARMACY 10- 2222
  • Facility Address: 333 MAIN ST
    TEWKSBURY, MA
    ZIP 01876
  • Facility Phone: 978 851-7047
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE E. CAIAZZO
  • NPI Number: 1093732398
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169294
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 2222
Street 333 MAIN ST
City TEWKSBURY
State MA
ZIP 01876
Phone 978 851-7047
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Pharmacy
Lab Director NICOLE E. CAIAZZO

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