34D2139107 CLIA NUMBER - WALMART PHARMACY 10-1096

Laboratory Demographics

  • CLIA Code: 34D2139107
  • Facility Name: WALMART PHARMACY 10-1096
  • Facility Address: 261 COOPER CREEK DR
    MOCKSVILLE, NC
    ZIP 27028
  • Facility Phone: 336 751-1340
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MINDY C. WOODIE
  • NPI Number: 1427075662
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2139107
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1096
Street 261 COOPER CREEK DR
City MOCKSVILLE
State NC
ZIP 27028
Phone 336 751-1340
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 MINDY C. WOODIE

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