34D2143624 CLIA NUMBER - WALMART PHARMACY 10-5118

Laboratory Demographics

CLIA Number: 34D2143624

Facility Name: WALMART PHARMACY 10-5118

Facility Address:
10050 GELNWOOD AVENUE
RALEIGH, NC
ZIP 27617
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Facility Phone Number: 919 596-6821

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1316964588

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	34D2143624
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-5118
Street	10050 GELNWOOD AVENUE
City	RALEIGH
State	NC
ZIP	27617
Phone	919 596-6821
CertificateType	4
CertificateEffectiveDate	2/2/2024
CertificateExpirationDate	2/1/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024