49D2129839 CLIA NUMBER - WALMART PHARMACY 10-1424

Laboratory Demographics

  • CLIA Code: 49D2129839
  • Facility Name: WALMART PHARMACY 10-1424
  • Facility Address: 671 SOUTHPARK BOULEVARD
    COLONIAL HEIGHTS, VA
    ZIP 23834
  • Facility Phone: 804 526-0636
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. SCHULTZ
  • NPI Number: 1871510073
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2129839
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1424
Street 671 SOUTHPARK BOULEVARD
City COLONIAL HEIGHTS
State VA
ZIP 23834
Phone 804 526-0636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Pharmacy
Lab Director MICHAEL D. SCHULTZ

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