49D2145384 CLIA NUMBER - WALMART PHARMACY 10-5969

Laboratory Demographics

  • CLIA Code: 49D2145384
  • Facility Name: WALMART PHARMACY 10-5969
  • Facility Address: 4368 CHANTILLY SHOPPING CENTER DR
    CHANTILLY, VA
    ZIP 20151
  • Facility Phone: (571) 392-3087
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AHMAD Z. GHAFOOL

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CLIA Record

Field Name Field Value
CLIA Number 49D2145384
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5969
Street 4368 CHANTILLY SHOPPING CENTER DR
City CHANTILLY
State VA
ZIP 20151
Phone 5713923087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2026
Certificate Expiration Date 3/5/2028
Facility Type Pharmacy
Lab Director AHMAD Z. GHAFOOL

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This page was last updated on: 5/18/2026