49D2146411 CLIA NUMBER - WALMART PHARMACY 10-1934

Laboratory Demographics

  • CLIA Code: 49D2146411
  • Facility Name: WALMART PHARMACY 10-1934
  • Facility Address: 315 FURR STREET
    SOUTH HILL, VA
    ZIP 23970
  • Facility Phone: 703 631-4007
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LORI M. LEWIS
  • NPI Number: 1689692337
  • Taxonomy: 3336C0003X - Pharmacy

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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
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 LORI M. LEWIS

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