34D2135835 CLIA NUMBER - WALMART PHARMACY 10-7329

Laboratory Demographics

  • CLIA Code: 34D2135835
  • Facility Name: WALMART PHARMACY 10-7329
  • Facility Address: 120 ODOM STREET
    SAINT PAULS, NC
    ZIP 28384
  • Facility Phone: 910 241-6158
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEMUNA UNDERWOOD
  • NPI Number: 1174922546
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2135835
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7329
Street 120 ODOM STREET
City SAINT PAULS
State NC
ZIP 28384
Phone 910 241-6158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Pharmacy
Lab Director MEMUNA UNDERWOOD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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