49D2144593 CLIA NUMBER - WALMART PHARMACY 10-2437

Laboratory Demographics

  • CLIA Code: 49D2144593
  • Facility Name: WALMART PHARMACY 10-2437
  • Facility Address: 700 JAMES MADISON HWY
    WARRENTON, VA
    ZIP 20186
  • Facility Phone: 540 341-7561
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ESSTEASE E. DOMINGUE
  • NPI Number: 1649297755
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2144593
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2437
Street 700 JAMES MADISON HWY
City WARRENTON
State VA
ZIP 20186
Phone 540 341-7561
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 ESSTEASE E. DOMINGUE

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