49D2145333 CLIA NUMBER - WALMART PHARMACY 10-1309

Laboratory Demographics

  • CLIA Code: 49D2145333
  • Facility Name: WALMART PHARMACY 10-1309
  • Facility Address: 1851 W MAIN STREET
    SALEM, VA
    ZIP 24153
  • Facility Phone: 540 375-2624
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY ALLEN THOMPSON
  • NPI Number: 1881611085
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2145333
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1309
Street 1851 W MAIN STREET
City SALEM
State VA
ZIP 24153
Phone 540 375-2624
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Pharmacy
Lab Director JEFFREY ALLEN THOMPSON

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