34D2139356 CLIA NUMBER - WALMART PHARMACY 10-5747

Laboratory Demographics

  • CLIA Code: 34D2139356
  • Facility Name: WALMART PHARMACY 10-5747
  • Facility Address: 1876 MAIN STREET WEST
    LOCUST, NC
    ZIP 28097
  • Facility Phone: 704 781-0574
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAKIR PATEL
  • NPI Number: 1912131384
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139356
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5747
Street 1876 MAIN STREET WEST
City LOCUST
State NC
ZIP 28097
Phone 704 781-0574
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 LAKIR PATEL

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