49D2130026 CLIA NUMBER - WALMART PHARMACY 10-5731

Laboratory Demographics

  • CLIA Code: 49D2130026
  • Facility Name: WALMART PHARMACY 10-5731
  • Facility Address: 2533 GERMANNA HIGHWAY
    LOCUST GROVE, VA
    ZIP 22508
  • Facility Phone: 540 317-4508
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EILLEN O. DANKWAAH
  • NPI Number: 1285071613
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2130026
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5731
Street 2533 GERMANNA HIGHWAY
City LOCUST GROVE
State VA
ZIP 22508
Phone 540 317-4508
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Pharmacy
Lab Director EILLEN O. DANKWAAH

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