49D2150516 CLIA NUMBER - WALMART PHARMACY 10-4378

Laboratory Demographics

CLIA Number: 49D2150516

Facility Name: WALMART PHARMACY 10-4378

Facility Address:
26036 LANKFORD HWY
ONLEY, VA
ZIP 23418
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Facility Phone Number: 757 302-4096

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1619295789

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType	4
CertificateEffectiveDate	6/26/2022
CertificateExpirationDate	6/25/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024