34D2139087 CLIA NUMBER - WALMART PHARMACY 10-5085

Laboratory Demographics

  • CLIA Code: 34D2139087
  • Facility Name: WALMART PHARMACY 10-5085
  • Facility Address: 701 HAWLEY AVE
    BELMONT, NC
    ZIP 28012
  • Facility Phone: 704 825-8188
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA L. WILCOX
  • NPI Number: 1730221532
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139087
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5085
Street 701 HAWLEY AVE
City BELMONT
State NC
ZIP 28012
Phone 704 825-8188
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 JESSICA L. WILCOX

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