34D2139108 CLIA NUMBER - WALMART PHARMACY 10-1209

Laboratory Demographics

  • CLIA Code: 34D2139108
  • Facility Name: WALMART PHARMACY 10-1209
  • Facility Address: 306 N GENERALS BOULEVARD
    LINCOLNTON, NC
    ZIP 28092
  • Facility Phone: 704 732-3095
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY ELIZABETH WHITE
  • NPI Number: 1831116086
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139108
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1209
Street 306 N GENERALS BOULEVARD
City LINCOLNTON
State NC
ZIP 28092
Phone 704 732-3095
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 MARY ELIZABETH WHITE

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