34D2120291 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY 10-1132

Laboratory Demographics

  • CLIA Code: 34D2120291
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY 10-1132
  • Facility Address: 1226 E DIXIE DRIVE
    ASHEBORO, NC
    ZIP 27203
  • Facility Phone: 479 258-6734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACEY BURTON
  • NPI Number: 1972520112
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2120291
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY 10-1132
Street 1226 E DIXIE DRIVE
City ASHEBORO
State NC
ZIP 27203
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 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Pharmacy
Lab Director STACEY BURTON

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