30D2159704 CLIA NUMBER - WALMART 1762

Laboratory Demographics

  • CLIA Code: 30D2159704
  • Facility Name: WALMART 1762
  • Facility Address: 700 LAFAYETTE RD
    SEABROOK, NH
    ZIP 03874
  • Facility Phone: 603 474-2514
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FAISAL ABDILLAHI
  • NPI Number: 1780601898
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 30D2159704
LAB Type Pharmacy
Facility Name WALMART 1762
Street 700 LAFAYETTE RD
City SEABROOK
State NH
ZIP 03874
Phone 603 474-2514
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/24/2024
Certificate Expiration Date 12/23/2026
Facility Type Pharmacy
Lab Director FAISAL ABDILLAHI

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