49D2127525 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-6226

Laboratory Demographics

  • CLIA Code: 49D2127525
  • Facility Name: WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-6226
  • Facility Address: 1832 KEMPSVILLE ROAD
    VIRGINIA BEACH, VA
    ZIP 23464
  • Facility Phone: 757 278-2573
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICKERS DSILVA
  • NPI Number: 1487061453
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2127525
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WAL-MART PHARMACY #10-6226
Street 1832 KEMPSVILLE ROAD
City VIRGINIA BEACH
State VA
ZIP 23464
Phone 757 278-2573
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 VICKERS DSILVA

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