34D2139299 CLIA NUMBER - WALMART PHARMACY 10-2929

Laboratory Demographics

  • CLIA Code: 34D2139299
  • Facility Name: WALMART PHARMACY 10-2929
  • Facility Address: 3030 N MAIN ST
    HOPE MILLS, NC
    ZIP 28348
  • Facility Phone: 910 429-8675
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN E. MOORE
  • NPI Number: 1972520146
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139299
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2929
Street 3030 N MAIN ST
City HOPE MILLS
State NC
ZIP 28348
Phone 910 429-8675
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 BRIAN E. MOORE

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