30D2156136 CLIA NUMBER - WALMART PHARMACY 10-2055

Laboratory Demographics

  • CLIA Code: 30D2156136
  • Facility Name: WALMART PHARMACY 10-2055
  • Facility Address: 344 LOUDON RD
    CONCORD, NH
    ZIP 03301
  • Facility Phone: 603 226-9327
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLEY A. NOEL
  • NPI Number: 1174540298
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 30D2156136
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2055
Street 344 LOUDON RD
City CONCORD
State NH
ZIP 03301
Phone 603 226-9327
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 KELLEY A. NOEL

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: 9/29/2025