34D2115871 CLIA NUMBER - WALMART STORES EAST, LP DBA WALMART PHARMACY 10-3371

Laboratory Demographics

  • CLIA Code: 34D2115871
  • Facility Name: WALMART STORES EAST, LP DBA WALMART PHARMACY 10-3371
  • Facility Address: 3240 WILKINSON BLVD
    CHARLOTTE, NC
    ZIP 28208
  • Facility Phone: 704 392-7282
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARCUS J. MCCRAY
  • NPI Number: 1700803947
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2115871
LAB Type Pharmacy
Facility Name WALMART STORES EAST, LP DBA WALMART PHARMACY 10-3371
Street 3240 WILKINSON BLVD
City CHARLOTTE
State NC
ZIP 28208
Phone 704 392-7282
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 MARCUS J. MCCRAY

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