49D2146415 CLIA NUMBER - WALMART PHARMACY 10-1687

Laboratory Demographics

  • CLIA Code: 49D2146415
  • Facility Name: WALMART PHARMACY 10-1687
  • Facility Address: 1200 N MAIN STREET
    SUFFOLK, VA
    ZIP 23434
  • Facility Phone: 757 952-0580
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BETH MCLAUGHLIN
  • NPI Number: 1821015926
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2146415
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1687
Street 1200 N MAIN STREET
City SUFFOLK
State VA
ZIP 23434
Phone 757 952-0580
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 BETH MCLAUGHLIN

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