30D2156121 CLIA NUMBER - WALMART PHARMACY 10-2399

Laboratory Demographics

  • CLIA Code: 30D2156121
  • Facility Name: WALMART PHARMACY 10-2399
  • Facility Address: 725 GOLD ST
    MANCHESTER, NH
    ZIP 03103
  • Facility Phone: 603 621-9922
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER TAYLOR
  • NPI Number: 1265518534
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 30D2156121
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2399
Street 725 GOLD ST
City MANCHESTER
State NH
ZIP 03103
Phone 603 621-9922
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 CHRISTOPHER TAYLOR

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