49D2145357 CLIA NUMBER - WALMART PHARMACY 10-3480

Laboratory Demographics

  • CLIA Code: 49D2145357
  • Facility Name: WALMART PHARMACY 10-3480
  • Facility Address: 1050 REGIONAL PARK ROAD
    LEBANON, VA
    ZIP 24266
  • Facility Phone: 276 889-3547
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOCELYN I. STREET
  • NPI Number: 1801813910
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2145357
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3480
Street 1050 REGIONAL PARK ROAD
City LEBANON
State VA
ZIP 24266
Phone 276 889-3547
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 JOCELYN I. STREET

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