49D2146390 CLIA NUMBER - WALMART PHARMACY 10-3077

Laboratory Demographics

  • CLIA Code: 49D2146390
  • Facility Name: WALMART PHARMACY 10-3077
  • Facility Address: 6530 TRADING SQ
    HAYMARKET, VA
    ZIP 20169
  • Facility Phone: 703 468-2465
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA POE
  • NPI Number: 1568727022
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2146390
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3077
Street 6530 TRADING SQ
City HAYMARKET
State VA
ZIP 20169
Phone 703 468-2465
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Pharmacy
Lab Director LISA POE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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