34D2139298 CLIA NUMBER - WALMART PHARMACY 10-2836

Laboratory Demographics

  • CLIA Code: 34D2139298
  • Facility Name: WALMART PHARMACY 10-2836
  • Facility Address: 1051 E BROAD ST
    FUQUAY VARINA, NC
    ZIP 27526
  • Facility Phone: 919 567-9130
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CRYSTAL N. DOWLESS
  • NPI Number: 1912308289
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 34D2139298
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2836
Street 1051 E BROAD ST
City FUQUAY VARINA
State NC
ZIP 27526
Phone 919 567-9130
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 CRYSTAL N. DOWLESS

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