34D2097308 CLIA NUMBER - WALMART PHARMACY 10-3411

Laboratory Demographics

  • CLIA Code: 34D2097308
  • Facility Name: WALMART PHARMACY 10-3411
  • Facility Address: 8660 CLIFFDALE ROAD
    FAYETTEVILLE, NC
    ZIP 28314
  • Facility Phone: (479) 258-2145
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANANE YAW
  • NPI Number: 1114306602
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2097308
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3411
Street 8660 CLIFFDALE ROAD
City FAYETTEVILLE
State NC
ZIP 28314
Phone 4792582145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Pharmacy
Lab Director ANANE YAW

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This page was last updated on: 5/18/2026