49D2152239 CLIA NUMBER - WALMART PHARMACY 10-2160

Laboratory Demographics

  • CLIA Code: 49D2152239
  • Facility Name: WALMART PHARMACY 10-2160
  • Facility Address: 3500 S CRATER RD
    PETERSBURG, VA
    ZIP 23805
  • Facility Phone: 804 957-6450
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM J. PRESLEY
  • NPI Number: 1821015934
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2152239
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2160
Street 3500 S CRATER RD
City PETERSBURG
State VA
ZIP 23805
Phone 804 957-6450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Pharmacy
Lab Director WILLIAM J. PRESLEY

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