22D2169327 CLIA NUMBER - WALMART PHARMACY 10- 2095

Laboratory Demographics

  • CLIA Code: 22D2169327
  • Facility Name: WALMART PHARMACY 10- 2095
  • Facility Address: 15 TOBEY RD
    WAREHAM, MA
    ZIP 02571
  • Facility Phone: 508 295-8822
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA EVERMAN
  • NPI Number: 1558388843
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169327
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 2095
Street 15 TOBEY RD
City WAREHAM
State MA
ZIP 02571
Phone 508 295-8822
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 JOSHUA EVERMAN

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