49D2144008 CLIA NUMBER - WALMART PHARMACY 10-4064

Laboratory Demographics

  • CLIA Code: 49D2144008
  • Facility Name: WALMART PHARMACY 10-4064
  • Facility Address: 4821 VIRGINIA BEACH BLVD
    VIRGINIA BEACH, VA
    ZIP 23462
  • Facility Phone: 757 278-2011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALYSSA M. LAPAGLIA
  • NPI Number: 1700292117
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2144008
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4064
Street 4821 VIRGINIA BEACH BLVD
City VIRGINIA BEACH
State VA
ZIP 23462
Phone 757 278-2011
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 ALYSSA M. LAPAGLIA

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