49D2150510 CLIA NUMBER - WALMART PHARMACY 10-2520

Laboratory Demographics

  • CLIA Code: 49D2150510
  • Facility Name: WALMART PHARMACY 10-2520
  • Facility Address: 125 WASHINGTON SQUARE PLZ
    FREDERICKSBURG, VA
    ZIP 22405
  • Facility Phone: 540 899-8951
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA SAFARIK
  • NPI Number: 1700803806
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2150510
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2520
Street 125 WASHINGTON SQUARE PLZ
City FREDERICKSBURG
State VA
ZIP 22405
Phone 540 899-8951
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Pharmacy
Lab Director LISA SAFARIK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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