49D2145103 CLIA NUMBER - WALMART PHARMACY 10-3270

Laboratory Demographics

  • CLIA Code: 49D2145103
  • Facility Name: WALMART PHARMACY 10-3270
  • Facility Address: 345 COMMONWEALTH DR
    WYTHEVILLE, VA
    ZIP 24382
  • Facility Phone: 276 228-2621
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIE OSBORNE
  • NPI Number: 1275550386
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2145103
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3270
Street 345 COMMONWEALTH DR
City WYTHEVILLE
State VA
ZIP 24382
Phone 276 228-2621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Pharmacy
Lab Director KRISTIE OSBORNE

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