49D2146424 CLIA NUMBER - WALMART PHARMACY 10-1399

Laboratory Demographics

  • CLIA Code: 49D2146424
  • Facility Name: WALMART PHARMACY 10-1399
  • Facility Address: 1126 EAST LYNCHBURG SALEM TURNPIKE
    BEDFORD, VA
    ZIP 24523
  • Facility Phone: 540 586-6012
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAUNTIA WILLIAMSON
  • NPI Number: 1457378564
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2146424
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1399
Street 1126 EAST LYNCHBURG SALEM TURNPIKE
City BEDFORD
State VA
ZIP 24523
Phone 540 586-6012
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 SHAUNTIA WILLIAMSON

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This page was last updated on: 3/20/2025