CLIA lab

CLIA 34D2124180: Wal-Mart Stores East, LP DBA

King, NC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 34D2124180 belongs to Wal-Mart Stores East, LP DBA in King, NC.

Certificate of Waiver, effective January 10, 2025, expires January 9, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 10, 2025
Certificate expiration
January 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 10, 2017
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
34D2124180
Lab name
Wal-Mart Stores East, LP DBA
Additional name
Walmart Pharmacy #10-6789
Address
204 Ingram Drive, King, NC 27021
Phone
(336) 296-6038
Fax
(336) 276-6037

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in King, NC

Related

Questions

What is the CLIA number for Wal-Mart Stores East, LP DBA in King?

34D2124180, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wal-Mart Stores East, LP DBA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 34D2124180 expire?

The CMS file lists January 9, 2027 as the certificate expiration date; the certificate took effect January 10, 2025.

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