49D2129852 CLIA NUMBER - WALMART PHARMACY 10-4636

Laboratory Demographics

  • CLIA Code: 49D2129852
  • Facility Name: WALMART PHARMACY 10-4636
  • Facility Address: 505 OAKVILLE ROAD
    APPOMATTOX, VA
    ZIP 24522
  • Facility Phone: 434 352-6066
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER SHAWN TRENT
  • NPI Number: 1760707566
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2129852
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4636
Street 505 OAKVILLE ROAD
City APPOMATTOX
State VA
ZIP 24522
Phone 434 352-6066
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 CHRISTOPHER SHAWN TRENT

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