22D2169301 CLIA NUMBER - WALMART PHARMACY 10- 3560

Laboratory Demographics

  • CLIA Code: 22D2169301
  • Facility Name: WALMART PHARMACY 10- 3560
  • Facility Address: 638 QUEQUECHAN STREET
    FALL RIVER, MA
    ZIP 02721
  • Facility Phone: 508 730-2978
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY ELIAS
  • NPI Number: 1477924009
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 22D2169301
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 3560
Street 638 QUEQUECHAN STREET
City FALL RIVER
State MA
ZIP 02721
Phone 508 730-2978
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 KIMBERLY ELIAS

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