34D2139074 CLIA NUMBER - WALMART PHARMACY 10-4574

Laboratory Demographics

  • CLIA Code: 34D2139074
  • Facility Name: WALMART PHARMACY 10-4574
  • Facility Address: 5825 THUNDER ROAD
    CONCORD, NC
    ZIP 28027
  • Facility Phone: 704 979-2552
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JI E. CHOI
  • NPI Number: 1639303001
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2139074
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4574
Street 5825 THUNDER ROAD
City CONCORD
State NC
ZIP 28027
Phone 704 979-2552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Pharmacy
Lab Director JI E. CHOI

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