34D2125143 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-4477

Laboratory Demographics

  • CLIA Code: 34D2125143
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-4477
  • Facility Address: 2710 NORTH MAIN STREET
    HIGH POINT, NC
    ZIP 27265
  • Facility Phone: 479 258-6734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMUEL HIATT
  • NPI Number: 1972750792
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2125143
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-4477
Street 2710 NORTH MAIN STREET
City HIGH POINT
State NC
ZIP 27265
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 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Pharmacy
Lab Director SAMUEL HIATT

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