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34D2139925 CLIA NUMBER - WALMART PHARMACY 10-1133

Laboratory Demographics

CLIA Number: 34D2139925

Facility Name: WALMART PHARMACY 10-1133

Facility Address:
781 LEONARD AVE
ALBEMARLE, NC
ZIP 28001
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Facility Phone Number: 704 982-8948

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1154348399

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 34D2139925
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1133
Street 781 LEONARD AVE
City ALBEMARLE
State NC
ZIP 28001
Phone 704 982-8948
CertificateType 4
CertificateEffectiveDate 11/13/2023
CertificateExpirationDate 11/12/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024