34D2139479 CLIA NUMBER - WALMART PHARMACY 10-4459

Laboratory Demographics

  • CLIA Code: 34D2139479
  • Facility Name: WALMART PHARMACY 10-4459
  • Facility Address: 1205 EASTERN AVENUE
    NASHVILLE, NC
    ZIP 27856
  • Facility Phone: 252 459-2223
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRENY WAHBA
  • NPI Number: 1922473461
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 34D2139479
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4459
Street 1205 EASTERN AVENUE
City NASHVILLE
State NC
ZIP 27856
Phone 252 459-2223
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 FRENY WAHBA

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