49D2146895 CLIA NUMBER - WALMART PHARMACY 10-1730

Laboratory Demographics

  • CLIA Code: 49D2146895
  • Facility Name: WALMART PHARMACY 10-1730
  • Facility Address: 1660 TAPPAHANNOCK BLVD
    TAPPAHANNOCK, VA
    ZIP 22560
  • Facility Phone: (804) 443-1988
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARA OREM
  • NPI Number: 1649297748
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2146895
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1730
Street 1660 TAPPAHANNOCK BLVD
City TAPPAHANNOCK
State VA
ZIP 22560
Phone 8044431988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2026
Certificate Expiration Date 4/8/2028
Facility Type Pharmacy
Lab Director SARA OREM

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