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49D2115242 CLIA NUMBER - WALMART PHARMACY 10-5829

Laboratory Demographics

CLIA Number: 49D2115242

Facility Name: WALMART PHARMACY 10-5829

Facility Address:
211 NOR DAN DRIVE, UNIT #1010
DANVILLE, VA
ZIP 24540
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Facility Phone Number: 479 258-6734

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1598782799

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 49D2115242
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5829
Street 211 NOR DAN DRIVE, UNIT #1010
City DANVILLE
State VA
ZIP 24540
Phone 479 258-6734
CertificateType 4
CertificateEffectiveDate 6/30/2022
CertificateExpirationDate 6/29/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024