41D2156432 CLIA NUMBER - WALMART PHARMACY 10-1873

Laboratory Demographics

  • CLIA Code: 41D2156432
  • Facility Name: WALMART PHARMACY 10-1873
  • Facility Address: 1776 PLAINFIELD PIKE
    CRANSTON, RI
    ZIP 02921
  • Facility Phone: 401 946-2040
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IAN WEININGER
  • NPI Number: 1053338202
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 41D2156432
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1873
Street 1776 PLAINFIELD PIKE
City CRANSTON
State RI
ZIP 02921
Phone 401 946-2040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Pharmacy
Lab Director IAN WEININGER

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