22D2169337 CLIA NUMBER - WALMART PHARMACY 10- 2329

Laboratory Demographics

  • CLIA Code: 22D2169337
  • Facility Name: WALMART PHARMACY 10- 2329
  • Facility Address: 555 E MAIN ST
    ORANGE, MA
    ZIP 01364
  • Facility Phone: 978 544-6405
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JILLIAN PRUNIER
  • NPI Number: 1376560672
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 22D2169337
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10- 2329
Street 555 E MAIN ST
City ORANGE
State MA
ZIP 01364
Phone 978 544-6405
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 JILLIAN PRUNIER

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