49D2145105 CLIA NUMBER - WALMART PHARMACY 10-2761

Laboratory Demographics

  • CLIA Code: 49D2145105
  • Facility Name: WALMART PHARMACY 10-2761
  • Facility Address: 13320 G C PEERY HWY
    POUNDING MILL, VA
    ZIP 24637
  • Facility Phone: 276 596-9116
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFERY MILLER
  • NPI Number: 1205854965
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2145105
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2761
Street 13320 G C PEERY HWY
City POUNDING MILL
State VA
ZIP 24637
Phone 276 596-9116
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 JEFFERY MILLER

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