49D2144925 CLIA NUMBER - WALMART PHARMACY 10-1243

Laboratory Demographics

  • CLIA Code: 49D2144925
  • Facility Name: WALMART PHARMACY 10-1243
  • Facility Address: 976 COMMONWEALTH BLVD
    MARTINSVILLE, VA
    ZIP 24112
  • Facility Phone: 276 638-2905
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY L. SMITH
  • NPI Number: 1063439263
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2144925
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1243
Street 976 COMMONWEALTH BLVD
City MARTINSVILLE
State VA
ZIP 24112
Phone 276 638-2905
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 MARY L. SMITH

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