34D2142151 CLIA NUMBER - WALMART PHARMACY 10-3600

Laboratory Demographics

  • CLIA Code: 34D2142151
  • Facility Name: WALMART PHARMACY 10-3600
  • Facility Address: 970 STRICKLAND BRIDGE ROAD
    FAYETTEVILLE, NC
    ZIP 28304
  • Facility Phone: 910 364-0159
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROLAND T. NTANKEU
  • NPI Number: 1174927057
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2142151
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3600
Street 970 STRICKLAND BRIDGE ROAD
City FAYETTEVILLE
State NC
ZIP 28304
Phone 910 364-0159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Pharmacy
Lab Director ROLAND T. NTANKEU

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