49D2143910 CLIA NUMBER - WALMART PHARMACY 10-1344

Laboratory Demographics

  • CLIA Code: 49D2143910
  • Facility Name: WALMART PHARMACY 10-1344
  • Facility Address: 1028 RICHMOND AVENUE - C
    STAUNTON, VA
    ZIP 24401
  • Facility Phone: 540 886-4208
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARLO MIRABELLI
  • NPI Number: 1235156431
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2143910
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1344
Street 1028 RICHMOND AVENUE - C
City STAUNTON
State VA
ZIP 24401
Phone 540 886-4208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Pharmacy
Lab Director CARLO MIRABELLI

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