22D2169310 CLIA NUMBER - WALMART PHARMACY 10- 2660

Laboratory Demographics

  • CLIA Code: 22D2169310
  • Facility Name: WALMART PHARMACY 10- 2660
  • Facility Address: 72 MAIN STREET
    NORTH READING, MA
    ZIP 01864
  • Facility Phone: 978 664-3207
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL VISCOSI
  • NPI Number: 1740207059
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169310
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 2660
Street 72 MAIN STREET
City NORTH READING
State MA
ZIP 01864
Phone 978 664-3207
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 MICHAEL VISCOSI

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