34D2142161 CLIA NUMBER - WALMART PHARMACY 10-1661

Laboratory Demographics

  • CLIA Code: 34D2142161
  • Facility Name: WALMART PHARMACY 10-1661
  • Facility Address: 4101 WEST VERNON AVENUE
    KINSTON, NC
    ZIP 28504
  • Facility Phone: 252 527-8400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIA GARCIA O. ABLAN
  • NPI Number: 1043237209
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2142161
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1661
Street 4101 WEST VERNON AVENUE
City KINSTON
State NC
ZIP 28504
Phone 252 527-8400
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 MARIA GARCIA O. ABLAN

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