34D2139482 CLIA NUMBER - WALMART PHARMACY 10-7222

Laboratory Demographics

  • CLIA Code: 34D2139482
  • Facility Name: WALMART PHARMACY 10-7222
  • Facility Address: 2830 GATEWAY DRIVE
    GREENVILLE, NC
    ZIP 27834
  • Facility Phone: 252 917-6170
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC FRALEY
  • NPI Number: 1932508363
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2139482
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7222
Street 2830 GATEWAY DRIVE
City GREENVILLE
State NC
ZIP 27834
Phone 252 917-6170
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 ERIC FRALEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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