22D2169309 CLIA NUMBER - WALMART PHARMACY 10-3114

Laboratory Demographics

  • CLIA Code: 22D2169309
  • Facility Name: WALMART PHARMACY 10-3114
  • Facility Address: 770 BROADWAY
    SAUGUS, MA
    ZIP 01906
  • Facility Phone: 781 816-5377
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELINDA LAU
  • NPI Number: 1447667142
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169309
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3114
Street 770 BROADWAY
City SAUGUS
State MA
ZIP 01906
Phone 781 816-5377
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 MELINDA LAU

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