CLIA lab

CLIA 22D2169305: Walmart Pharmacy 10- 1906

Fairhaven, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 22D2169305 belongs to Walmart Pharmacy 10- 1906 in Fairhaven, MA.

Certificate of Waiver, effective July 18, 2025, expires July 17, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
July 18, 2025
Certificate expiration
July 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 18, 2019
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
22D2169305
Lab name
Walmart Pharmacy 10- 1906
Address
42 Fairhaven Commons Way, Fairhaven, MA 02719
Phone
(508) 993-4250
Fax
(508) 993-4208

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Fairhaven, MA

Related

Questions

What is the CLIA number for Walmart Pharmacy 10- 1906 in Fairhaven?

22D2169305, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10- 1906 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 22D2169305 expire?

The CMS file lists July 17, 2027 as the certificate expiration date; the certificate took effect July 18, 2025.

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