34D2139282 CLIA NUMBER - WALMART PHARMACY 10-1821

Laboratory Demographics

  • CLIA Code: 34D2139282
  • Facility Name: WALMART PHARMACY 10-1821
  • Facility Address: 9101 ALBEMARLE ROAD
    CHARLOTTE, NC
    ZIP 28227
  • Facility Phone: 704 532-2876
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK E. SMITH
  • NPI Number: 1942227103
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139282
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1821
Street 9101 ALBEMARLE ROAD
City CHARLOTTE
State NC
ZIP 28227
Phone 704 532-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Pharmacy
Lab Director MARK E. SMITH

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