34D2130377 CLIA NUMBER - WALMART PHARMACY 10-1131

Laboratory Demographics

  • CLIA Code: 34D2130377
  • Facility Name: WALMART PHARMACY 10-1131
  • Facility Address: 901 NC HIGHWAY 16 S
    TAYLORSVILLE, NC
    ZIP 28681
  • Facility Phone: 828 632-4161
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE F. BLUNN
  • NPI Number: 1245257484
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2130377
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1131
Street 901 NC HIGHWAY 16 S
City TAYLORSVILLE
State NC
ZIP 28681
Phone 828 632-4161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Pharmacy
Lab Director JAMIE F. BLUNN

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