34D2119615 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY # 10-6586

Laboratory Demographics

  • CLIA Code: 34D2119615
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY # 10-6586
  • Facility Address: 3905 CONCORD PARKWAY S
    CONCORD, NC
    ZIP 28027
  • Facility Phone: 704 706-6046
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CATHY MOORE
  • NPI Number: 1073530218
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2119615
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY # 10-6586
Street 3905 CONCORD PARKWAY S
City CONCORD
State NC
ZIP 28027
Phone 704 706-6046
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 CATHY MOORE

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