34D2139941 CLIA NUMBER - WALMART PHARMACY 10-4273

Laboratory Demographics

  • CLIA Code: 34D2139941
  • Facility Name: WALMART PHARMACY 10-4273
  • Facility Address: 1112 NEW POINTE BOULEVARD
    LELAND, NC
    ZIP 28451
  • Facility Phone: 910 383-1302
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS A. BORSAY
  • NPI Number: 1972637783
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139941
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4273
Street 1112 NEW POINTE BOULEVARD
City LELAND
State NC
ZIP 28451
Phone 910 383-1302
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 NICHOLAS A. BORSAY

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