47D2139822 CLIA NUMBER - WALMART PHARMANCY #10-2682

Laboratory Demographics

  • CLIA Code: 47D2139822
  • Facility Name: WALMART PHARMANCY #10-2682
  • Facility Address: 282 BERLIN MALL RD
    BERLIN, VT
    ZIP 05602
  • Facility Phone: 802 229-8049
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SABRINA HARDY
  • NPI Number: 1336166537
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 47D2139822
LAB Type Pharmacy
Facility Name WALMART PHARMANCY #10-2682
Street 282 BERLIN MALL RD
City BERLIN
State VT
ZIP 05602
Phone 802 229-8049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Pharmacy
Lab Director SABRINA HARDY

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