34D2142162 CLIA NUMBER - WALMART PHARMACY 10-1255

Laboratory Demographics

  • CLIA Code: 34D2142162
  • Facility Name: WALMART PHARMACY 10-1255
  • Facility Address: 901 US HIGHWAY 401 S
    LAURINBURG, NC
    ZIP 28352
  • Facility Phone: 910 277-7771
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MADISON M. CAULDER
  • NPI Number: 1376561175
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2142162
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1255
Street 901 US HIGHWAY 401 S
City LAURINBURG
State NC
ZIP 28352
Phone 910 277-7771
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 MADISON M. CAULDER

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