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34D2139079 CLIA NUMBER - WALMART PHARMACY 10-5013

Laboratory Demographics

CLIA Number: 34D2139079

Facility Name: WALMART PHARMACY 10-5013

Facility Address:
4102 PRECISION WAY
HIGH POINT, NC
ZIP 27265
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Facility Phone Number: 336 804-6021

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1538507876

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 34D2139079
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5013
Street 4102 PRECISION WAY
City HIGH POINT
State NC
ZIP 27265
Phone 336 804-6021
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