49D2144010 CLIA NUMBER - WALMART PHARMACY 10-5253

Laboratory Demographics

  • CLIA Code: 49D2144010
  • Facility Name: WALMART PHARMACY 10-5253
  • Facility Address: 632 GRASSFIELD PKWY
    CHESAPEAKE, VA
    ZIP 23322
  • Facility Phone: 757 312-9375
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TINA VANCE
  • NPI Number: 1831116953
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2144010
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5253
Street 632 GRASSFIELD PKWY
City CHESAPEAKE
State VA
ZIP 23322
Phone 757 312-9375
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 TINA VANCE

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