30D2156116 CLIA NUMBER - WALMART PHARMACY 10-3535

Laboratory Demographics

  • CLIA Code: 30D2156116
  • Facility Name: WALMART PHARMACY 10-3535
  • Facility Address: 35 FRESH RIVER RD
    EPPING, NH
    ZIP 03042
  • Facility Phone: 603 679-5942
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA A. FOLSOM
  • NPI Number: 1790702819
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 30D2156116
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3535
Street 35 FRESH RIVER RD
City EPPING
State NH
ZIP 03042
Phone 603 679-5942
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Pharmacy
Lab Director ANGELA A. FOLSOM

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