22D2169336 CLIA NUMBER - WALMART PHARMACY 10- 5278

Laboratory Demographics

  • CLIA Code: 22D2169336
  • Facility Name: WALMART PHARMACY 10- 5278
  • Facility Address: 591 MEMORIAL DR
    CHICOPEE, MA
    ZIP 01020
  • Facility Phone: 413 593-6503
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KALPESH PATEL
  • NPI Number: 1649297953
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169336
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 5278
Street 591 MEMORIAL DR
City CHICOPEE
State MA
ZIP 01020
Phone 413 593-6503
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 KALPESH PATEL

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