49D2117320 CLIA NUMBER - WAL-MART STORES EAST, LP WAL-MART PHARMACY #10-1969

Laboratory Demographics

  • CLIA Code: 49D2117320
  • Facility Name: WAL-MART STORES EAST, LP WAL-MART PHARMACY #10-1969
  • Facility Address: 900 WALMART WAY
    MIDLOTHIAN, VA
    ZIP 23113
  • Facility Phone: 804 378-2326
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THU D. LE
  • NPI Number: 1184641284
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2117320
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP WAL-MART PHARMACY #10-1969
Street 900 WALMART WAY
City MIDLOTHIAN
State VA
ZIP 23113
Phone 804 378-2326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Pharmacy
Lab Director THU D. LE

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