34D2143621 CLIA NUMBER - WALMART PHARMACY 10-5254

Laboratory Demographics

  • CLIA Code: 34D2143621
  • Facility Name: WALMART PHARMACY 10-5254
  • Facility Address: 2114 SOUTH MAIN STREET
    WAKE FOREST, NC
    ZIP 27587
  • Facility Phone: 919 562-9519
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ARTHUR W. PAGE
  • NPI Number: 1134146301
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2143621
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5254
Street 2114 SOUTH MAIN STREET
City WAKE FOREST
State NC
ZIP 27587
Phone 919 562-9519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Pharmacy
Lab Director ARTHUR W. PAGE

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