34D2139296 CLIA NUMBER - WALMART PHARMACY 10-2730

Laboratory Demographics

  • CLIA Code: 34D2139296
  • Facility Name: WALMART PHARMACY 10-2730
  • Facility Address: 110 RIVER OAKS DRIVE
    TARBORO, NC
    ZIP 27886
  • Facility Phone: 252 824-8175
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA WHITLEY
  • NPI Number: 1790702967
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2139296
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2730
Street 110 RIVER OAKS DRIVE
City TARBORO
State NC
ZIP 27886
Phone 252 824-8175
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 AMANDA WHITLEY

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