34D2119619 CLIA NUMBER - WAL-MART STORES EAST, LP WAL-MART PHARMACY # 10-6958

Laboratory Demographics

  • CLIA Code: 34D2119619
  • Facility Name: WAL-MART STORES EAST, LP WAL-MART PHARMACY # 10-6958
  • Facility Address: 2800 NC HIGHWAY 24-87
    CAMERON, NC
    ZIP 28326
  • Facility Phone: 910 364-0351
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT BOYER
  • NPI Number: 1104373406
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 34D2119619
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP WAL-MART PHARMACY # 10-6958
Street 2800 NC HIGHWAY 24-87
City CAMERON
State NC
ZIP 28326
Phone 910 364-0351
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 ROBERT BOYER

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