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49D2145351 CLIA NUMBER - WALMART PHARMACY 10-1302

Laboratory Demographics

CLIA Number: 49D2145351

Facility Name: WALMART PHARMACY 10-1302

Facility Address:
780 COMMONWEALTH DRIVE
NORTON, VA
ZIP 24273
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Facility Phone Number: 276 679-7340

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1699792895

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 49D2145351
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1302
Street 780 COMMONWEALTH DRIVE
City NORTON
State VA
ZIP 24273
Phone 276 679-7340
CertificateType 4
CertificateEffectiveDate 3/6/2024
CertificateExpirationDate 3/5/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024