34D2139472 CLIA NUMBER - WALMART PHARMACY 10-2749

Laboratory Demographics

  • CLIA Code: 34D2139472
  • Facility Name: WALMART PHARMACY 10-2749
  • Facility Address: 2514 HALLTOWN ROAD
    SPRUCE PINE, NC
    ZIP 28777
  • Facility Phone: 828 766-8456
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARRIE DICKINSON-TERRY
  • NPI Number: 1609893874
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139472
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2749
Street 2514 HALLTOWN ROAD
City SPRUCE PINE
State NC
ZIP 28777
Phone 828 766-8456
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 CARRIE DICKINSON-TERRY

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