49D2143907 CLIA NUMBER - WALMART PHARMACY 10-2312

Laboratory Demographics

  • CLIA Code: 49D2143907
  • Facility Name: WALMART PHARMACY 10-2312
  • Facility Address: 4807 VALLEY VIEW BLVD NW
    ROANOKE, VA
    ZIP 24012
  • Facility Phone: (540) 265-5611
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAMELA A. TOWE
  • NPI Number: 1356368450
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2143907
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2312
Street 4807 VALLEY VIEW BLVD NW
City ROANOKE
State VA
ZIP 24012
Phone 5402655611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2026
Certificate Expiration Date 2/6/2028
Facility Type Pharmacy
Lab Director PAMELA A. TOWE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026