34D2139100 CLIA NUMBER - WALMART PHARMACY 10-0877

Laboratory Demographics

  • CLIA Code: 34D2139100
  • Facility Name: WALMART PHARMACY 10-0877
  • Facility Address: 2406 W ROOSEVELT BOULEVARD
    MONROE, NC
    ZIP 28110
  • Facility Phone: 704 289-5441
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK E. TURCOTTE
  • NPI Number: 1346267580
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139100
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0877
Street 2406 W ROOSEVELT BOULEVARD
City MONROE
State NC
ZIP 28110
Phone 704 289-5441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Pharmacy
Lab Director MARK E. TURCOTTE

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