34D2139174 CLIA NUMBER - WALMART PHARMACY 10-1197

Laboratory Demographics

  • CLIA Code: 34D2139174
  • Facility Name: WALMART PHARMACY 10-1197
  • Facility Address: 1511 BENVENUE ROAD
    ROCKY MOUNT, NC
    ZIP 27804
  • Facility Phone: 252 985-2753
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEE CAITLIN S. GARCIA
  • NPI Number: 1669499810
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139174
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1197
Street 1511 BENVENUE ROAD
City ROCKY MOUNT
State NC
ZIP 27804
Phone 252 985-2753
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 LEE CAITLIN S. GARCIA

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