34D2115867 CLIA NUMBER - WALMART STORES EAST, LP DBA WALMART PHARMACY 10-2256

Laboratory Demographics

  • CLIA Code: 34D2115867
  • Facility Name: WALMART STORES EAST, LP DBA WALMART PHARMACY 10-2256
  • Facility Address: 200 N COOPER DRIVE
    HENDERSON, NC
    ZIP 27536
  • Facility Phone: 479 258-6734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ARPAN DESAI
  • NPI Number: 1932126190
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2115867
LAB Type Pharmacy
Facility Name WALMART STORES EAST, LP DBA WALMART PHARMACY 10-2256
Street 200 N COOPER DRIVE
City HENDERSON
State NC
ZIP 27536
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 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Pharmacy
Lab Director ARPAN DESAI

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