22D2169333 CLIA NUMBER - WALMART PHARMACY 10- 2227

Laboratory Demographics

  • CLIA Code: 22D2169333
  • Facility Name: WALMART PHARMACY 10- 2227
  • Facility Address: 777 BROCKTON AVE
    ABINGTON, MA
    ZIP 02351
  • Facility Phone: 781 857-1280
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN DUBYOSKI
  • NPI Number: 1912924218
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169333
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 2227
Street 777 BROCKTON AVE
City ABINGTON
State MA
ZIP 02351
Phone 781 857-1280
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 RYAN DUBYOSKI

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