34D2139284 CLIA NUMBER - WALMART PHARMACY 10-1842

Laboratory Demographics

  • CLIA Code: 34D2139284
  • Facility Name: WALMART PHARMACY 10-1842
  • Facility Address: 4424 W WENDOVER AVENUE
    GREENSBORO, NC
    ZIP 27407
  • Facility Phone: 336 292-2923
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CATRINA H. TULL
  • NPI Number: 1669872941
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139284
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1842
Street 4424 W WENDOVER AVENUE
City GREENSBORO
State NC
ZIP 27407
Phone 336 292-2923
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 CATRINA H. TULL

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