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49D2144006 CLIA NUMBER - WALMART PHARMACY 10-3303

Laboratory Demographics

CLIA Number: 49D2144006

Facility Name: WALMART PHARMACY 10-3303

Facility Address:
1179 RIVERVIEW STREET
GRUNDY, VA
ZIP 24614
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Facility Phone Number: 276 244-3014

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1063700409

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType 4
CertificateEffectiveDate 2/8/2024
CertificateExpirationDate 2/7/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024