34D2099874 CLIA NUMBER - WALMART PHARMACY 10-3504

Laboratory Demographics

  • CLIA Code: 34D2099874
  • Facility Name: WALMART PHARMACY 10-3504
  • Facility Address: 2415 SPRINGS ROAD NE
    HICKORY, NC
    ZIP 28601
  • Facility Phone: 479 258-2145
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. BEVERLY TAYLOR
  • NPI Number: 1558744151
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2099874
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3504
Street 2415 SPRINGS ROAD NE
City HICKORY
State NC
ZIP 28601
Phone 479 258-2145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director MS. BEVERLY TAYLOR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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