49D1098758 CLIA NUMBER - JEFFERSON GOOD NEIGHBOR PHARMACY

Laboratory Demographics

  • CLIA Code: 49D1098758
  • Facility Name: JEFFERSON GOOD NEIGHBOR PHARMACY
  • Facility Address: 194 B TURKEYSAG TRAIL
    PALMYRA, VA
    ZIP 22963
  • Facility Phone: 434 589-7902
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLLY S. OLIVER
  • NPI Number: 1871731448
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1098758
LAB Type Pharmacy
Facility Name JEFFERSON GOOD NEIGHBOR PHARMACY
Street 194 B TURKEYSAG TRAIL
City PALMYRA
State VA
ZIP 22963
Phone 434 589-7902
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Pharmacy
Lab Director KELLLY S. OLIVER

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