22D2169296 CLIA NUMBER - WALMART PHARMACY 10- 2366

Laboratory Demographics

  • CLIA Code: 22D2169296
  • Facility Name: WALMART PHARMACY 10- 2366
  • Facility Address: 1470 S WASHINGTON ST
    NO ATTLEBORO, MA
    ZIP 02760
  • Facility Phone: 508 699-2007
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON CHERENZIA
  • NPI Number: 1902823206
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169296
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 2366
Street 1470 S WASHINGTON ST
City NO ATTLEBORO
State MA
ZIP 02760
Phone 508 699-2007
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 BRANDON CHERENZIA

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