49D2150513 CLIA NUMBER - WALMART PHARMACY 10-5753

Laboratory Demographics

  • CLIA Code: 49D2150513
  • Facility Name: WALMART PHARMACY 10-5753
  • Facility Address: 6303 RICHMOND HWY
    ALEXANDRIA, VA
    ZIP 22306
  • Facility Phone: (703) 253-9908
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARCEL MANSOUR
  • NPI Number: 1538186630
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2150513
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5753
Street 6303 RICHMOND HWY
City ALEXANDRIA
State VA
ZIP 22306
Phone 7032539908
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 MARCEL MANSOUR

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