34D2139946 CLIA NUMBER - WALMART PHARMACY 10-7180

Laboratory Demographics

CLIA Number: 34D2139946

Facility Name: WALMART PHARMACY 10-7180

Facility Address:
2520 CUTHBERTSON ROAD
WAXHAW, NC
ZIP 28173
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Facility Phone Number: 704 627-6002

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1356745129

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 34D2139946
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7180
Street 2520 CUTHBERTSON ROAD
City WAXHAW
State NC
ZIP 28173
Phone 704 627-6002
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