34D2139342 CLIA NUMBER - WALMART PHARMACY 10-4458

Laboratory Demographics

  • CLIA Code: 34D2139342
  • Facility Name: WALMART PHARMACY 10-4458
  • Facility Address: 7016 GB ALFORD HIGHWAY
    HOLLY SPRINGS, NC
    ZIP 27540
  • Facility Phone: 919 557-9294
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS B. COLE
  • NPI Number: 1811197676
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139342
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4458
Street 7016 GB ALFORD HIGHWAY
City HOLLY SPRINGS
State NC
ZIP 27540
Phone 919 557-9294
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 THOMAS B. COLE

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