49D2145372 CLIA NUMBER - WALMART PHARMACY 10-5754

Laboratory Demographics

  • CLIA Code: 49D2145372
  • Facility Name: WALMART PHARMACY 10-5754
  • Facility Address: 4670 CASEY BLVD
    WILLIAMSBURG, VA
    ZIP 23188
  • Facility Phone: 757 603-4607
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHALIE M. GILBERT
  • NPI Number: 1245679232
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2145372
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5754
Street 4670 CASEY BLVD
City WILLIAMSBURG
State VA
ZIP 23188
Phone 757 603-4607
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 NATHALIE M. GILBERT

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