34D2119611 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY 10-1322

Laboratory Demographics

  • CLIA Code: 34D2119611
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY 10-1322
  • Facility Address: 160 LOWES BOULEVARD
    LEXINGTON, NC
    ZIP 27292
  • Facility Phone: 479 258-6734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZANESHA M. CARTER
  • NPI Number: 1558388702
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2119611
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY 10-1322
Street 160 LOWES BOULEVARD
City LEXINGTON
State NC
ZIP 27292
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 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Pharmacy
Lab Director ZANESHA M. CARTER

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