34D2130379 CLIA NUMBER - WALMART PHARMACY 10-1097

Laboratory Demographics

  • CLIA Code: 34D2130379
  • Facility Name: WALMART PHARMACY 10-1097
  • Facility Address: 250 TURNER STREET
    ABERDEEN, NC
    ZIP 28315
  • Facility Phone: 910 692-5171
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL A. WILSON
  • NPI Number: 1609893841
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2130379
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1097
Street 250 TURNER STREET
City ABERDEEN
State NC
ZIP 28315
Phone 910 692-5171
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 DANIEL A. WILSON

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