34D2139935 CLIA NUMBER - WALMART PHARMACY 10-1751

Laboratory Demographics

  • CLIA Code: 34D2139935
  • Facility Name: WALMART PHARMACY 10-1751
  • Facility Address: 6600 GLENWOOD AVE
    RALEIGH, NC
    ZIP 27612
  • Facility Phone: 919 783-9693
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VINCENT H. NGUYEN
  • NPI Number: 1306863568
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139935
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1751
Street 6600 GLENWOOD AVE
City RALEIGH
State NC
ZIP 27612
Phone 919 783-9693
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Pharmacy
Lab Director VINCENT H. NGUYEN

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