49D2146411 CLIA NUMBER - WALMART PHARMACY 10-1934

Laboratory Demographics

CLIA Number: 49D2146411

Facility Name: WALMART PHARMACY 10-1934

Facility Address:
315 FURR STREET
SOUTH HILL, VA
ZIP 23970
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Facility Phone Number: 703 631-4007

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1689692337

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	49D2146411
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-1934
Street	315 FURR STREET
City	SOUTH HILL
State	VA
ZIP	23970
Phone	703 631-4007
CertificateType	4
CertificateEffectiveDate	3/28/2024
CertificateExpirationDate	3/27/2026
FacilityType	Waiver

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