30D2156126 CLIA NUMBER - WALMART PHARMACY 10-2634

Laboratory Demographics

  • CLIA Code: 30D2156126
  • Facility Name: WALMART PHARMACY 10-2634
  • Facility Address: 561 MAIN ST
    GORHAM, NH
    ZIP 03581
  • Facility Phone: 603 752-7330
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CRAIG LOZIER
  • NPI Number: 1528085644
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 30D2156126
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2634
Street 561 MAIN ST
City GORHAM
State NH
ZIP 03581
Phone 603 752-7330
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 CRAIG LOZIER

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