34D2143649 CLIA NUMBER - WALMART PHARMACY 10-6176

Laboratory Demographics

  • CLIA Code: 34D2143649
  • Facility Name: WALMART PHARMACY 10-6176
  • Facility Address: 5611 WEST FRIENDLY AVENUE
    GREENSBORO, NC
    ZIP 27410
  • Facility Phone: 336 291-4982
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES YOUN
  • NPI Number: 1134519671
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2143649
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-6176
Street 5611 WEST FRIENDLY AVENUE
City GREENSBORO
State NC
ZIP 27410
Phone 336 291-4982
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 JAMES YOUN

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