34D2139072 CLIA NUMBER - WALMART PHARMACY 10-4224

Laboratory Demographics

  • CLIA Code: 34D2139072
  • Facility Name: WALMART PHARMACY 10-4224
  • Facility Address: 201 ZELKOVA CT NW
    CONOVER, NC
    ZIP 28613
  • Facility Phone: (828) 464-4700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH E. MOORE
  • NPI Number: 1598820755
  • Taxonomy: 3336C0003X - Pharmacy

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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 8284644700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2025
Certificate Expiration Date 10/29/2027
Facility Type Pharmacy
Lab Director JOSEPH E. MOORE

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This page was last updated on: 5/18/2026