34D2139484 CLIA NUMBER - WALMART PHARMACY 10-7238

Laboratory Demographics

  • CLIA Code: 34D2139484
  • Facility Name: WALMART PHARMACY 10-7238
  • Facility Address: 11233 B NC 55 HIGHWAY
    GRANTSBORO, NC
    ZIP 28529
  • Facility Phone: 252 201-9012
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERNEST L. WALKER III
  • NPI Number: 1972920577
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139484
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7238
Street 11233 B NC 55 HIGHWAY
City GRANTSBORO
State NC
ZIP 28529
Phone 252 201-9012
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 ERNEST L. WALKER III

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