34D2139281 CLIA NUMBER - WALMART PHARMACY 10-1816

Laboratory Demographics

CLIA Number: 34D2139281

Facility Name: WALMART PHARMACY 10-1816

Facility Address:
7106 KNIGHTDALE BOULEVARD
KNIGHTDALE, NC
ZIP 27545
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Facility Phone Number: 919 217-0670

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1124045380

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	34D2139281
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-1816
Street	7106 KNIGHTDALE BOULEVARD
City	KNIGHTDALE
State	NC
ZIP	27545
Phone	919 217-0670
CertificateType	4
CertificateEffectiveDate	11/1/2023
CertificateExpirationDate	10/31/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024