41D2156439 CLIA NUMBER - WALMART PHARMACY 10-2261

Laboratory Demographics

  • CLIA Code: 41D2156439
  • Facility Name: WALMART PHARMACY 10-2261
  • Facility Address: 1031 TEN ROD RD
    NORTH KINGSTOWN, RI
    ZIP 02852
  • Facility Phone: 401 294-3455
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARC DESLAURIERS RPH
  • NPI Number: 1366469512
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 41D2156439
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2261
Street 1031 TEN ROD RD
City NORTH KINGSTOWN
State RI
ZIP 02852
Phone 401 294-3455
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 MARC DESLAURIERS RPH

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