49D2146408 CLIA NUMBER - WALMART PHARMACY 10-3622

Laboratory Demographics

CLIA Number: 49D2146408

Facility Name: WALMART PHARMACY 10-3622

Facility Address:
4950 PLANTATION RD
ROANOKE, VA
ZIP 24019
Get Directions

Facility Phone Number: 540 283-5108

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1518361302

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	49D2146408
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-3622
Street	4950 PLANTATION RD
City	ROANOKE
State	VA
ZIP	24019
Phone	540 283-5108
CertificateType	4
CertificateEffectiveDate	3/28/2024
CertificateExpirationDate	3/27/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024