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31D2144698 CLIA NUMBER - WALMART PHARMACY #10-5944

Laboratory Demographics

CLIA Number: 31D2144698

Facility Name: WALMART PHARMACY #10-5944

Facility Address:
934 ROUTE 73
MOUNT LAUREL, NJ
ZIP 08054
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Facility Phone Number: 479 258-6734

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1003323387

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 31D2144698
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5944
Street 934 ROUTE 73
City MOUNT LAUREL
State NJ
ZIP 08054
Phone 479 258-6734
CertificateType 4
CertificateEffectiveDate 2/21/2024
CertificateExpirationDate 2/20/2026
FacilityType Waiver

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