30D2174250 CLIA NUMBER - WALMART PHARMACY 10-1907

Laboratory Demographics

  • CLIA Code: 30D2174250
  • Facility Name: WALMART PHARMACY 10-1907
  • Facility Address: 724 BRATTLEBORO RD
    HINSDALE, NH
    ZIP 03451
  • Facility Phone: 800 322-6794
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL MATHERS
  • NPI Number: 1710357298
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 30D2174250
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1907
Street 724 BRATTLEBORO RD
City HINSDALE
State NH
ZIP 03451
Phone 800 322-6794
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Pharmacy
Lab Director MICHAEL MATHERS

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