30D2156122 CLIA NUMBER - WALMART PHARMACY 10-2330

Laboratory Demographics

  • CLIA Code: 30D2156122
  • Facility Name: WALMART PHARMACY 10-2330
  • Facility Address: 116 FARMINGTON RD
    ROCHESTER, NH
    ZIP 03867
  • Facility Phone: 603 332-5540
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROGER DEAN EARLY SR
  • NPI Number: 1700803822
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 30D2156122
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2330
Street 116 FARMINGTON RD
City ROCHESTER
State NH
ZIP 03867
Phone 603 332-5540
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 ROGER DEAN EARLY SR

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