47D2129469 CLIA NUMBER - WALMART PHARMACY 10-2332

Laboratory Demographics

  • CLIA Code: 47D2129469
  • Facility Name: WALMART PHARMACY 10-2332
  • Facility Address: 700 TUCKERS WAY
    ST ALBANS, VT
    ZIP 05478
  • Facility Phone: 802 528-4118
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA MCCARTHY
  • NPI Number: 1922431998
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2129469
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2332
Street 700 TUCKERS WAY
City ST ALBANS
State VT
ZIP 05478
Phone 802 528-4118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Pharmacy
Lab Director ANGELA MCCARTHY

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