34D2139939 CLIA NUMBER - WALMART PHARMACY 10-2793

Laboratory Demographics

  • CLIA Code: 34D2139939
  • Facility Name: WALMART PHARMACY 10-2793
  • Facility Address: 1130 SOUTH MAIN STREET
    KERNERSVILLE, NC
    ZIP 27284
  • Facility Phone: 336 992-0879
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH S. RIBAUDO
  • NPI Number: 1427075696
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139939
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2793
Street 1130 SOUTH MAIN STREET
City KERNERSVILLE
State NC
ZIP 27284
Phone 336 992-0879
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 JOSEPH S. RIBAUDO

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This page was last updated on: 3/20/2025