34D2139361 CLIA NUMBER - WALMART PHARMACY 10-5851

Laboratory Demographics

  • CLIA Code: 34D2139361
  • Facility Name: WALMART PHARMACY 10-5851
  • Facility Address: 4600 E 10TH ST
    GREENVILLE, NC
    ZIP 27858
  • Facility Phone: 252 917-6289
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAVIS J. HOLMES
  • NPI Number: 1962849281
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139361
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5851
Street 4600 E 10TH ST
City GREENVILLE
State NC
ZIP 27858
Phone 252 917-6289
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 TRAVIS J. HOLMES

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