34D2119621 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY # 10-1392

Laboratory Demographics

  • CLIA Code: 34D2119621
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY # 10-1392
  • Facility Address: 5226 SIGMON ROAD
    WILMINGTON, NC
    ZIP 28403
  • Facility Phone: 479 258-6734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES SMITH
  • NPI Number: 1003833252
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2119621
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY # 10-1392
Street 5226 SIGMON ROAD
City WILMINGTON
State NC
ZIP 28403
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 CHARLES SMITH

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