34D2121580 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-3503

Laboratory Demographics

  • CLIA Code: 34D2121580
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-3503
  • Facility Address: 1585 LIBERTY DRIVE, SUITE 1
    THOMASVILLE, NC
    ZIP 27360
  • Facility Phone: 336 474-2264
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AUSTIN NEWSOME
  • NPI Number: 1144247313
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2121580
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-3503
Street 1585 LIBERTY DRIVE, SUITE 1
City THOMASVILLE
State NC
ZIP 27360
Phone 336 474-2264
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Pharmacy
Lab Director AUSTIN NEWSOME

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