34D2139286 CLIA NUMBER - WALMART PHARMACY 10-2496

Laboratory Demographics

  • CLIA Code: 34D2139286
  • Facility Name: WALMART PHARMACY 10-2496
  • Facility Address: 200 WATAUGA VILLAGE DRIVE
    BOONE, NC
    ZIP 28607
  • Facility Phone: 828 262-0383
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM MCNEIL
  • NPI Number: 1578580734
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2139286
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2496
Street 200 WATAUGA VILLAGE DRIVE
City BOONE
State NC
ZIP 28607
Phone 828 262-0383
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 KIM MCNEIL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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