34D2119625 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY # 10-3626

Laboratory Demographics

  • CLIA Code: 34D2119625
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY # 10-3626
  • Facility Address: 3475 PARKWAY VILLAGE COURT
    WINSTON-SALEM, NC
    ZIP 27127
  • Facility Phone: 336 771-7911
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZANOSHA M. CARTER
  • NPI Number: 1740345792
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2119625
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY # 10-3626
Street 3475 PARKWAY VILLAGE COURT
City WINSTON-SALEM
State NC
ZIP 27127
Phone 336 771-7911
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 ZANOSHA M. CARTER

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