49D2123578 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WALMART PHARMACY #10-2337

Laboratory Demographics

  • CLIA Code: 49D2123578
  • Facility Name: WAL-MART STORES EAST, LP DBA WALMART PHARMACY #10-2337
  • Facility Address: 550 OLD FRANKLIN TURNPIKE
    ROCKY MOUNT, VA
    ZIP 24151
  • Facility Phone: 479 258-6734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MALLORY A. FRALIN
  • NPI Number: 1265459366
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2123578
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WALMART PHARMACY #10-2337
Street 550 OLD FRANKLIN TURNPIKE
City ROCKY MOUNT
State VA
ZIP 24151
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 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Pharmacy
Lab Director MALLORY A. FRALIN

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