22D2169335 CLIA NUMBER - WALMART PHARMACY #2267

Laboratory Demographics

  • CLIA Code: 22D2169335
  • Facility Name: WALMART PHARMACY #2267
  • Facility Address: 137 WEST BOYLSTON ST
    WEST BOYLSTON, MA
    ZIP 01583
  • Facility Phone: 508 835-3999
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA R. PAINE
  • NPI Number: 1467479766
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169335
LAB Type Pharmacy
Facility Name WALMART PHARMACY #2267
Street 137 WEST BOYLSTON ST
City WEST BOYLSTON
State MA
ZIP 01583
Phone 508 835-3999
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 R. PAINE

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