34D2139152 CLIA NUMBER - WALMART PHARMACY 10-2704

Laboratory Demographics

  • CLIA Code: 34D2139152
  • Facility Name: WALMART PHARMACY 10-2704
  • Facility Address: 1021 HIGH POINT ST
    RANDLEMAN, NC
    ZIP 27317
  • Facility Phone: 336 495-3784
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MUSGRAVE ROBIN
  • NPI Number: 1073530242
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139152
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2704
Street 1021 HIGH POINT ST
City RANDLEMAN
State NC
ZIP 27317
Phone 336 495-3784
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 MUSGRAVE ROBIN

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