34D2139443 CLIA NUMBER - WALMART PHARMACY 10-1179

Laboratory Demographics

  • CLIA Code: 34D2139443
  • Facility Name: WALMART PHARMACY 10-1179
  • Facility Address: 60 AIRPORT ROAD
    ARDEN, NC
    ZIP 28704
  • Facility Phone: 828 684-6803
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN BLAU
  • NPI Number: 1710135009
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 34D2139443
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1179
Street 60 AIRPORT ROAD
City ARDEN
State NC
ZIP 28704
Phone 828 684-6803
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Pharmacy
Lab Director JUSTIN BLAU

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