49D2146897 CLIA NUMBER - WALMART PHARMACY 10-4682

Laboratory Demographics

  • CLIA Code: 49D2146897
  • Facility Name: WALMART PHARMACY 10-4682
  • Facility Address: 164 CAMP CREEK PKWY
    GORDONSVILLE, VA
    ZIP 22942
  • Facility Phone: 540 832-1271
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID M. SPERBER
  • NPI Number: 1225363328
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2146897
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4682
Street 164 CAMP CREEK PKWY
City GORDONSVILLE
State VA
ZIP 22942
Phone 540 832-1271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Pharmacy
Lab Director DAVID M. SPERBER

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