49D2144589 CLIA NUMBER - WALMART PHARMACY 10-1852

Laboratory Demographics

  • CLIA Code: 49D2144589
  • Facility Name: WALMART PHARMACY 10-1852
  • Facility Address: 14000 WORTH AVE
    WOODBRIDGE, VA
    ZIP 22192
  • Facility Phone: 703 497-2690
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARL WOELFEL
  • NPI Number: 1457378556
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2144589
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1852
Street 14000 WORTH AVE
City WOODBRIDGE
State VA
ZIP 22192
Phone 703 497-2690
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 CARL WOELFEL

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