49D2116742 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-5343

Laboratory Demographics

  • CLIA Code: 49D2116742
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-5343
  • Facility Address: 10001 SOUTHPOINT PARKWAY
    FREDERICKSBURG, VA
    ZIP 22407
  • Facility Phone: 540 834-4610
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALINA A. FORSHEE
  • NPI Number: 1013934132
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2116742
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-5343
Street 10001 SOUTHPOINT PARKWAY
City FREDERICKSBURG
State VA
ZIP 22407
Phone 540 834-4610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Pharmacy
Lab Director ALINA A. FORSHEE

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