49D2146422 CLIA NUMBER - WALMART PHARMACY 10-5779

Laboratory Demographics

  • CLIA Code: 49D2146422
  • Facility Name: WALMART PHARMACY 10-5779
  • Facility Address: 16375 MERCHANT LN
    KING GEORGE, VA
    ZIP 22485
  • Facility Phone: 540 413-3144
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AFUA A. TWENEBOA-KODUA
  • NPI Number: 1710272877
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2146422
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5779
Street 16375 MERCHANT LN
City KING GEORGE
State VA
ZIP 22485
Phone 540 413-3144
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 AFUA A. TWENEBOA-KODUA

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