34D2139343 CLIA NUMBER - WALMART PHARMACY 10-4499

Laboratory Demographics

  • CLIA Code: 34D2139343
  • Facility Name: WALMART PHARMACY 10-4499
  • Facility Address: 841 E GANNON AVE
    ZEBULON, NC
    ZIP 27597
  • Facility Phone: 919 269-2881
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FAITH M. CLARK
  • NPI Number: 1932385366
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139343
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4499
Street 841 E GANNON AVE
City ZEBULON
State NC
ZIP 27597
Phone 919 269-2881
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 FAITH M. CLARK

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