49D2117297 CLIA NUMBER - WAL-MART STORES EAST, LP WAL-MART PHARMACY 10-4476

Laboratory Demographics

  • CLIA Code: 49D2117297
  • Facility Name: WAL-MART STORES EAST, LP WAL-MART PHARMACY 10-4476
  • Facility Address: 14501 HANCOCK VILLAGE STREET
    CHESTERFIELD, VA
    ZIP 23832
  • Facility Phone: 479 258-6734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERICA M. WHITFIELD
  • NPI Number: 1518194430
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2117297
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP WAL-MART PHARMACY 10-4476
Street 14501 HANCOCK VILLAGE STREET
City CHESTERFIELD
State VA
ZIP 23832
Phone 479 258-6734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Pharmacy
Lab Director ERICA M. WHITFIELD

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