49D2150516 CLIA NUMBER - WALMART PHARMACY 10-4378

Laboratory Demographics

  • CLIA Code: 49D2150516
  • Facility Name: WALMART PHARMACY 10-4378
  • Facility Address: 26036 LANKFORD HWY
    ONLEY, VA
    ZIP 23418
  • Facility Phone: 757 302-4096
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIESHA M. DUNNOCK
  • NPI Number: 1619295789
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2150516
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4378
Street 26036 LANKFORD HWY
City ONLEY
State VA
ZIP 23418
Phone 757 302-4096
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 KIESHA M. DUNNOCK

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