49D2146423 CLIA NUMBER - WALMART PHARMACY 10-2438

Laboratory Demographics

  • CLIA Code: 49D2146423
  • Facility Name: WALMART PHARMACY 10-2438
  • Facility Address: 217 GARRISONVILLE RD
    STAFFORD, VA
    ZIP 22554
  • Facility Phone: 540 720-7422
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HILINA T. TEFERRA
  • NPI Number: 1447277546
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2146423
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2438
Street 217 GARRISONVILLE RD
City STAFFORD
State VA
ZIP 22554
Phone 540 720-7422
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 HILINA T. TEFERRA

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