49D2121309 CLIA NUMBER - WAL-MART STORES EAST, LP WAL-MART PHARMACY #10-1335

Laboratory Demographics

  • CLIA Code: 49D2121309
  • Facility Name: WAL-MART STORES EAST, LP WAL-MART PHARMACY #10-1335
  • Facility Address: 1233 NORTH LEE HIGHWAY
    LEXINGTON, VA
    ZIP 24450
  • Facility Phone: 540 464-3522
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TONY J. TAYLOR
  • NPI Number: 1508883703
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2121309
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP WAL-MART PHARMACY #10-1335
Street 1233 NORTH LEE HIGHWAY
City LEXINGTON
State VA
ZIP 24450
Phone 540 464-3522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Pharmacy
Lab Director TONY J. TAYLOR

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