49D2114949 CLIA NUMBER - WALMART PHARMACY 10-6952

Laboratory Demographics

  • CLIA Code: 49D2114949
  • Facility Name: WALMART PHARMACY 10-6952
  • Facility Address: 375 SOUTH MAIN STREET
    TIMBERVILLE, VA
    ZIP 22853
  • Facility Phone: 540 896-0463
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXANDER S. TOLLEY
  • NPI Number: 1356792899
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 49D2114949
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-6952
Street 375 SOUTH MAIN STREET
City TIMBERVILLE
State VA
ZIP 22853
Phone 540 896-0463
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Pharmacy
Lab Director ALEXANDER S. TOLLEY

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