49D2144006 CLIA NUMBER - WALMART PHARMACY 10-3303

Laboratory Demographics

  • CLIA Code: 49D2144006
  • Facility Name: WALMART PHARMACY 10-3303
  • Facility Address: 1179 RIVERVIEW STREET
    GRUNDY, VA
    ZIP 24614
  • Facility Phone: 276 244-3014
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COTY Y. CRIGGER
  • NPI Number: 1063700409
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2144006
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3303
Street 1179 RIVERVIEW STREET
City GRUNDY
State VA
ZIP 24614
Phone 276 244-3014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Pharmacy
Lab Director COTY Y. CRIGGER

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