34D2139330 CLIA NUMBER - WALMART PHARMACY 10-3305

Laboratory Demographics

  • CLIA Code: 34D2139330
  • Facility Name: WALMART PHARMACY 10-3305
  • Facility Address: 6711 NC HIGHWAY 135
    MAYODAN, NC
    ZIP 27027
  • Facility Phone: 336 548-2737
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHERINE M. SHELTON
  • NPI Number: 1528085768
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139330
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3305
Street 6711 NC HIGHWAY 135
City MAYODAN
State NC
ZIP 27027
Phone 336 548-2737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Pharmacy
Lab Director KATHERINE M. SHELTON

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