49D2144580 CLIA NUMBER - WALMART PHARMACY 10-3772

Laboratory Demographics

  • CLIA Code: 49D2144580
  • Facility Name: WALMART PHARMACY 10-3772
  • Facility Address: 468 TRADE CENTER LN
    JONESVILLE, VA
    ZIP 24263
  • Facility Phone: 276 346-2860
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SONIA J. SALYER
  • NPI Number: 1023126315
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2144580
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3772
Street 468 TRADE CENTER LN
City JONESVILLE
State VA
ZIP 24263
Phone 276 346-2860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Pharmacy
Lab Director SONIA J. SALYER

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This page was last updated on: 6/4/2025