49D2118048 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-3156

Laboratory Demographics

  • CLIA Code: 49D2118048
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-3156
  • Facility Address: 117 MARKETPLACE DRIVE
    HAMPTON, VA
    ZIP 23666
  • Facility Phone: 757 637-4868
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARCELLA M. CHRISTOPHER
  • NPI Number: 1134146335
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2118048
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-3156
Street 117 MARKETPLACE DRIVE
City HAMPTON
State VA
ZIP 23666
Phone 757 637-4868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Pharmacy
Lab Director DARCELLA M. CHRISTOPHER

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