30D2156124 CLIA NUMBER - WALMART PHARMACY 10-2398

Laboratory Demographics

  • CLIA Code: 30D2156124
  • Facility Name: WALMART PHARMACY 10-2398
  • Facility Address: 2200 WOODBURY AVE
    NEWINGTON, NH
    ZIP 03801
  • Facility Phone: 603 430-4427
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARTHA RODRIGUEZ
  • NPI Number: 1295754208
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 30D2156124
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2398
Street 2200 WOODBURY AVE
City NEWINGTON
State NH
ZIP 03801
Phone 603 430-4427
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 MARTHA RODRIGUEZ

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