34D2139072 CLIA NUMBER - WALMART PHARMACY 10-4224

Laboratory Demographics

CLIA Number: 34D2139072

Facility Name: WALMART PHARMACY 10-4224

Facility Address:
201 ZELKOVA CT NW
CONOVER, NC
ZIP 28613
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Facility Phone Number: 828 464-4700

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1598820755

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	34D2139072
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-4224
Street	201 ZELKOVA CT NW
City	CONOVER
State	NC
ZIP	28613
Phone	828 464-4700
CertificateType	4
CertificateEffectiveDate	10/30/2023
CertificateExpirationDate	10/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024