22D2169308 CLIA NUMBER - WALMART PHARMACY 10- 3491

Laboratory Demographics

  • CLIA Code: 22D2169308
  • Facility Name: WALMART PHARMACY 10- 3491
  • Facility Address: 70 PLEASANT VALLEY STREET
    METHUEN, MA
    ZIP 01844
  • Facility Phone: 978 686-3359
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JANICE URBANSKI
  • NPI Number: 1194742403
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169308
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 3491
Street 70 PLEASANT VALLEY STREET
City METHUEN
State MA
ZIP 01844
Phone 978 686-3359
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 JANICE URBANSKI

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