34D2139946 CLIA NUMBER - WALMART PHARMACY 10-7180

Laboratory Demographics

  • CLIA Code: 34D2139946
  • Facility Name: WALMART PHARMACY 10-7180
  • Facility Address: 2520 CUTHBERTSON ROAD
    WAXHAW, NC
    ZIP 28173
  • Facility Phone: 704 627-6002
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANCES C. AZIIE
  • NPI Number: 1356745129
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2139946
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7180
Street 2520 CUTHBERTSON ROAD
City WAXHAW
State NC
ZIP 28173
Phone 704 627-6002
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 FRANCES C. AZIIE

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