49D2127518 CLIA NUMBER - WAL-MART STORES EAST, LP D/B/A WAL-MART PHARMACY #10-5922

Laboratory Demographics

  • CLIA Code: 49D2127518
  • Facility Name: WAL-MART STORES EAST, LP D/B/A WAL-MART PHARMACY #10-5922
  • Facility Address: 546 FIRST COLONIAL ROAD
    VIRGINIA BEACH, VA
    ZIP 23451
  • Facility Phone: 315 335-7303
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NIKHOLAS BUELA
  • NPI Number: 1538611066
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 49D2127518
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP D/B/A WAL-MART PHARMACY #10-5922
Street 546 FIRST COLONIAL ROAD
City VIRGINIA BEACH
State VA
ZIP 23451
Phone 315 335-7303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Pharmacy
Lab Director NIKHOLAS BUELA

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