34D2142163 CLIA NUMBER - WALMART PHARMACY 10-1242

Laboratory Demographics

  • CLIA Code: 34D2142163
  • Facility Name: WALMART PHARMACY 10-1242
  • Facility Address: 250 HIGHLANDS SQUARE DRIVE ATTENTION PHARMACY MANAGER
    HENDERSONVILLE, NC
    ZIP 28792
  • Facility Phone: 828 696-8021
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH J. MASI
  • NPI Number: 1295752442
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2142163
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1242
Street 250 HIGHLANDS SQUARE DRIVE ATTENTION PHARMACY MANAGER
City HENDERSONVILLE
State NC
ZIP 28792
Phone 828 696-8021
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 SARAH J. MASI

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