34D2139140 CLIA NUMBER - WALMART PHARMACY 10-1953

Laboratory Demographics

  • CLIA Code: 34D2139140
  • Facility Name: WALMART PHARMACY 10-1953
  • Facility Address: 705 RETAIL WAY
    LOUISBURG, NC
    ZIP 27549
  • Facility Phone: 919 496-4644
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIE A. BAKER
  • NPI Number: 1679590830
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139140
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1953
Street 705 RETAIL WAY
City LOUISBURG
State NC
ZIP 27549
Phone 919 496-4644
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 JULIE A. BAKER

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