30D2156135 CLIA NUMBER - WALMART PHARMACY 10-2057

Laboratory Demographics

  • CLIA Code: 30D2156135
  • Facility Name: WALMART PHARMACY 10-2057
  • Facility Address: 750 US HWY 202
    RINDGE, NH
    ZIP 03461
  • Facility Phone: 603 899-6965
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANDY BOUCHARD
  • NPI Number: 1225056989
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 30D2156135
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2057
Street 750 US HWY 202
City RINDGE
State NH
ZIP 03461
Phone 603 899-6965
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 SANDY BOUCHARD

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