31D2144698 CLIA NUMBER - WALMART PHARMACY #10-5944

Laboratory Demographics

  • CLIA Code: 31D2144698
  • Facility Name: WALMART PHARMACY #10-5944
  • Facility Address: 934 ROUTE 73
    MOUNT LAUREL, NJ
    ZIP 08054
  • Facility Phone: 479 258-6734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROCCO CAVALIER
  • NPI Number: 1003323387
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Pharmacy
Lab Director ROCCO CAVALIER

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