49D2130530 CLIA NUMBER - WALMART STORES EAST, LP D/B/A WAL-MART PHARMACY #10-6936

Laboratory Demographics

  • CLIA Code: 49D2130530
  • Facility Name: WALMART STORES EAST, LP D/B/A WAL-MART PHARMACY #10-6936
  • Facility Address: 14 N STAFFORD COMPLEX CENTER
    STAFFORD, VA
    ZIP 22556
  • Facility Phone: 757 278-2056
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERICA GEISER
  • NPI Number: 1639618770
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2130530
LAB Type Pharmacy
Facility Name WALMART STORES EAST, LP D/B/A WAL-MART PHARMACY #10-6936
Street 14 N STAFFORD COMPLEX CENTER
City STAFFORD
State VA
ZIP 22556
Phone 757 278-2056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director ERICA GEISER

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