34D2143630 CLIA NUMBER - WALMART PHARMACY 10-1290

Laboratory Demographics

  • CLIA Code: 34D2143630
  • Facility Name: WALMART PHARMACY 10-1290
  • Facility Address: 1801 US HIGHWAY 421
    WILKESBORO, NC
    ZIP 28697
  • Facility Phone: 336 667-4337
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN B. MOORE
  • NPI Number: 1376085001
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 34D2143630
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1290
Street 1801 US HIGHWAY 421
City WILKESBORO
State NC
ZIP 28697
Phone 336 667-4337
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 LAUREN B. MOORE

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