Healther Providers Data Logo

41D2156533 CLIA NUMBER - WALMART PHARMACY 10-3301

Laboratory Demographics

CLIA Number: 41D2156533

Facility Name: WALMART PHARMACY 10-3301

Facility Address:
51 SILVER SPRING ST
PROVIDENCE, RI
ZIP 02904
Get Directions

Facility Phone Number: 401 272-5340

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1083779409

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType 4
CertificateEffectiveDate 10/19/2022
CertificateExpirationDate 10/18/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024