41D2156533 CLIA NUMBER - WALMART PHARMACY 10-3301

Laboratory Demographics

  • CLIA Code: 41D2156533
  • Facility Name: WALMART PHARMACY 10-3301
  • Facility Address: 51 SILVER SPRING ST
    PROVIDENCE, RI
    ZIP 02904
  • Facility Phone: 401 272-5340
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALYSSA GAGLIONE PHARM D
  • NPI Number: 1083779409
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 41D2156533
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3301
Street 51 SILVER SPRING ST
City PROVIDENCE
State RI
ZIP 02904
Phone 401 272-5340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Pharmacy
Lab Director ALYSSA GAGLIONE PHARM D

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