34D2133484 CLIA NUMBER - WALMART PHARMACY 10-1034

Laboratory Demographics

  • CLIA Code: 34D2133484
  • Facility Name: WALMART PHARMACY 10-1034
  • Facility Address: 705 E DIXON BOULEVARD
    SHELBY, NC
    ZIP 28150
  • Facility Phone: 704 484-0051
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FREDA P. REEP
  • NPI Number: 1982621124
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2133484
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1034
Street 705 E DIXON BOULEVARD
City SHELBY
State NC
ZIP 28150
Phone 704 484-0051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director FREDA P. REEP

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