34D2119612 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY 10-2134

Laboratory Demographics

  • CLIA Code: 34D2119612
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY 10-2134
  • Facility Address: 7735 N TRYON STREET
    CHARLOTTE, NC
    ZIP 28262
  • Facility Phone: 704 547-0972
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NAJLA T. TASLIM
  • NPI Number: 1023035284
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2119612
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY 10-2134
Street 7735 N TRYON STREET
City CHARLOTTE
State NC
ZIP 28262
Phone 704 547-0972
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 NAJLA T. TASLIM

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