34D2327092 CLIA NUMBER - WALMART PHARMACY #10-7011

Laboratory Demographics

  • CLIA Code: 34D2327092
  • Facility Name: WALMART PHARMACY #10-7011
  • Facility Address: 4857 DOGWOOD LANE BUILDING 603 SUITE 300
    LIBERTY, NC
    ZIP 27298
  • Facility Phone: 479 371-0112
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASEY COCKMAN
  • NPI Number: 1730974916
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2327092
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-7011
Street 4857 DOGWOOD LANE BUILDING 603 SUITE 300
City LIBERTY
State NC
ZIP 27298
Phone 479 371-0112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Pharmacy
Lab Director CASEY COCKMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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