34D2139341 CLIA NUMBER - WALMART PHARMACY 10-4410

Laboratory Demographics

  • CLIA Code: 34D2139341
  • Facility Name: WALMART PHARMACY 10-4410
  • Facility Address: 4780 HICKORY BOULEVARD
    GRANITE FALLS, NC
    ZIP 28630
  • Facility Phone: (828) 396-3685
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAPHNE FONTENOT

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CLIA Record

Field Name Field Value
CLIA Number 34D2139341
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4410
Street 4780 HICKORY BOULEVARD
City GRANITE FALLS
State NC
ZIP 28630
Phone 8283963685
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2025
Certificate Expiration Date 11/1/2027
Facility Type Pharmacy
Lab Director DAPHNE FONTENOT

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This page was last updated on: 6/29/2026