49D2115242 CLIA NUMBER - WALMART PHARMACY 10-5829

Laboratory Demographics

  • CLIA Code: 49D2115242
  • Facility Name: WALMART PHARMACY 10-5829
  • Facility Address: 211 NOR DAN DRIVE, UNIT #1010
    DANVILLE, VA
    ZIP 24540
  • Facility Phone: 434 441-4253
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT A. PRATT
  • NPI Number: 1598782799
  • Taxonomy: 3336C0003X - Pharmacy

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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 434 441-4253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Pharmacy
Lab Director ROBERT A. PRATT

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