49D2125638 CLIA NUMBER - WALMART PHARMACY #2762

Laboratory Demographics

  • CLIA Code: 49D2125638
  • Facility Name: WALMART PHARMACY #2762
  • Facility Address: 7373 PEPPERS FERRY BLVD
    RADFORD, VA
    ZIP 24141
  • Facility Phone: 540 731-4033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YANCEY E. LOCKHART
  • NPI Number: 1730106840
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2125638
LAB Type Pharmacy
Facility Name WALMART PHARMACY #2762
Street 7373 PEPPERS FERRY BLVD
City RADFORD
State VA
ZIP 24141
Phone 540 731-4033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Pharmacy
Lab Director YANCEY E. LOCKHART

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