34D2139339 CLIA NUMBER - WALMART PHARMACY 10-4274

Laboratory Demographics

  • CLIA Code: 34D2139339
  • Facility Name: WALMART PHARMACY 10-4274
  • Facility Address: 7131 HIGHWAY #73
    DENVER, NC
    ZIP 28037
  • Facility Phone: 704 827-8228
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY ELIZABETH WHITE
  • NPI Number: 1114109840
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139339
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4274
Street 7131 HIGHWAY #73
City DENVER
State NC
ZIP 28037
Phone 704 827-8228
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 MARY ELIZABETH WHITE

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