49D2117643 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-6798

Laboratory Demographics

  • CLIA Code: 49D2117643
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-6798
  • Facility Address: 3350 EAST PRINCESS ANNE ROAD
    NORFOLK, VA
    ZIP 23502
  • Facility Phone: 479 258-6734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDWARD FREMPONG
  • NPI Number: 1902823008
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2117643
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-6798
Street 3350 EAST PRINCESS ANNE ROAD
City NORFOLK
State VA
ZIP 23502
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 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Pharmacy
Lab Director EDWARD FREMPONG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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