49D2144914 CLIA NUMBER - WALMART PHARMACY 10-1023

Laboratory Demographics

  • CLIA Code: 49D2144914
  • Facility Name: WALMART PHARMACY 10-1023
  • Facility Address: 1140 E STUART DR
    GALAX, VA
    ZIP 24333
  • Facility Phone: 276 236-7118
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY H. CARICO
  • NPI Number: 1154348357
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2144914
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1023
Street 1140 E STUART DR
City GALAX
State VA
ZIP 24333
Phone 276 236-7118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Pharmacy
Lab Director KELLY H. CARICO

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