34D2139102 CLIA NUMBER - WALMART PHARMACY 10-1155

Laboratory Demographics

  • CLIA Code: 34D2139102
  • Facility Name: WALMART PHARMACY 10-1155
  • Facility Address: 5070 FAYETTEVILLE ROAD
    LUMBERTON, NC
    ZIP 28358
  • Facility Phone: (910) 738-9577
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLIE V. MOKHANTHA
  • NPI Number: 1881611028
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2139102
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1155
Street 5070 FAYETTEVILLE ROAD
City LUMBERTON
State NC
ZIP 28358
Phone 9107389577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2025
Certificate Expiration Date 10/30/2027
Facility Type Pharmacy
Lab Director ALLIE V. MOKHANTHA

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: 5/18/2026