49D2145380 CLIA NUMBER - WALMART PHARMACY 10-2795

Laboratory Demographics

  • CLIA Code: 49D2145380
  • Facility Name: WALMART PHARMACY 10-2795
  • Facility Address: 145 HILL CARTER PKWY
    ASHLAND, VA
    ZIP 23005
  • Facility Phone: 804 798-3112
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXIS K. PAGE
  • NPI Number: 1538186648
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2145380
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2795
Street 145 HILL CARTER PKWY
City ASHLAND
State VA
ZIP 23005
Phone 804 798-3112
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 ALEXIS K. PAGE

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