49D2146408 CLIA NUMBER - WALMART PHARMACY 10-3622

Laboratory Demographics

  • CLIA Code: 49D2146408
  • Facility Name: WALMART PHARMACY 10-3622
  • Facility Address: 4950 PLANTATION RD
    ROANOKE, VA
    ZIP 24019
  • Facility Phone: 540 283-5108
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DINAKIN K. OLUFEMI
  • NPI Number: 1518361302
  • Taxonomy: 3336C0003X - Pharmacy

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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
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 DINAKIN K. OLUFEMI

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