49D2148064 CLIA NUMBER - WALMART PHARMACY 10-1486

Laboratory Demographics

  • CLIA Code: 49D2148064
  • Facility Name: WALMART PHARMACY 10-1486
  • Facility Address: 1800 PEERY DRIVE
    FARMVILLE, VA
    ZIP 23901
  • Facility Phone: 434 392-1639
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC M. COLPO
  • NPI Number: 1780601989
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2148064
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1486
Street 1800 PEERY DRIVE
City FARMVILLE
State VA
ZIP 23901
Phone 434 392-1639
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Pharmacy
Lab Director ERIC M. COLPO

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