34D2101866 CLIA NUMBER - WALMART NHM #4848

Laboratory Demographics

  • CLIA Code: 34D2101866
  • Facility Name: WALMART NHM #4848
  • Facility Address: 8322 PINEVILLE MATTHEWS ROAD
    CHARLOTTE, NC
    ZIP 28226
  • Facility Phone: 704 496-5227
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY SANSOME
  • NPI Number: 1285651430
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2101866
LAB Type Pharmacy
Facility Name WALMART NHM #4848
Street 8322 PINEVILLE MATTHEWS ROAD
City CHARLOTTE
State NC
ZIP 28226
Phone 704 496-5227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Pharmacy
Lab Director ANTHONY SANSOME

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