49D2129910 CLIA NUMBER - WALMART PHARMACY 10-5105

Laboratory Demographics

  • CLIA Code: 49D2129910
  • Facility Name: WALMART PHARMACY 10-5105
  • Facility Address: 10 RIVERTON COMMONS DRIVE
    FRONT ROYAL, VA
    ZIP 22630
  • Facility Phone: 540 635-7712
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAVIS J. CHAPMAN
  • NPI Number: 1831564376
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 49D2129910
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5105
Street 10 RIVERTON COMMONS DRIVE
City FRONT ROYAL
State VA
ZIP 22630
Phone 540 635-7712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Pharmacy
Lab Director TRAVIS J. CHAPMAN

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