34D2115900 CLIA NUMBER - WALMART STORES EAST, LP DBA WALMART PHARMACY 10-1385

Laboratory Demographics

  • CLIA Code: 34D2115900
  • Facility Name: WALMART STORES EAST, LP DBA WALMART PHARMACY 10-1385
  • Facility Address: 3000 E FRANKLIN BOULEVARD
    GASTONIA, NC
    ZIP 28056
  • Facility Phone: 704 868-2095
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY R. HELLER
  • NPI Number: 1093733891
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2115900
LAB Type Pharmacy
Facility Name WALMART STORES EAST, LP DBA WALMART PHARMACY 10-1385
Street 3000 E FRANKLIN BOULEVARD
City GASTONIA
State NC
ZIP 28056
Phone 704 868-2095
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 JEREMY R. HELLER

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