49D2146413 CLIA NUMBER - WALMART PHARMACY 10-1345

Laboratory Demographics

  • CLIA Code: 49D2146413
  • Facility Name: WALMART PHARMACY 10-1345
  • Facility Address: 3471 OLD HALFAX RD
    SOUTH BOSTON, VA
    ZIP 24592
  • Facility Phone: (434) 832-0208
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOROTHY MCDONALD
  • NPI Number: 1730106832
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2146413
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1345
Street 3471 OLD HALFAX RD
City SOUTH BOSTON
State VA
ZIP 24592
Phone 4348320208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2026
Certificate Expiration Date 3/27/2028
Facility Type Pharmacy
Lab Director DOROTHY MCDONALD

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This page was last updated on: 5/18/2026