49D2116834 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY 10-2821

Laboratory Demographics

  • CLIA Code: 49D2116834
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY 10-2821
  • Facility Address: 2410 SHEILA LANE
    RICHMOND, VA
    ZIP 23225
  • Facility Phone: (804) 320-0099
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DERRICK L. WEST
  • NPI Number: 1376560482
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2116834
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY 10-2821
Street 2410 SHEILA LANE
City RICHMOND
State VA
ZIP 23225
Phone 8043200099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Pharmacy
Lab Director DERRICK L. WEST

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This page was last updated on: 5/15/2026