34D2139115 CLIA NUMBER - WALMART PHARMACY 10-1261

Laboratory Demographics

  • CLIA Code: 34D2139115
  • Facility Name: WALMART PHARMACY 10-1261
  • Facility Address: 4601 RAMSEY ST
    FAYETTEVILLE, NC
    ZIP 28311
  • Facility Phone: 910 488-2828
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT V. COLLINS
  • NPI Number: 1013934264
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139115
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1261
Street 4601 RAMSEY ST
City FAYETTEVILLE
State NC
ZIP 28311
Phone 910 488-2828
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 ROBERT V. COLLINS

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