30D2156130 CLIA NUMBER - WALMART PHARMACY 10-2138

Laboratory Demographics

  • CLIA Code: 30D2156130
  • Facility Name: WALMART PHARMACY 10-2138
  • Facility Address: 285 PLAINFIELD RD
    WEST LEBANON, NH
    ZIP 03784
  • Facility Phone: (603) 298-5060
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL R. BOURQUE

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 30D2156130
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2138
Street 285 PLAINFIELD RD
City WEST LEBANON
State NH
ZIP 03784
Phone 6032985060
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 MICHAEL R. BOURQUE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026