49D2045566 CLIA NUMBER - WALGREENS #15112

Laboratory Demographics

  • CLIA Code: 49D2045566
  • Facility Name: WALGREENS #15112
  • Facility Address: 1500 PINEY FOREST ROAD
    DANVILLE, VA
    ZIP 24540
  • Facility Phone: 434 836-7144
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHERINE B. BROOKS
  • NPI Number: 1174802912
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2045566
LAB Type Pharmacy
Facility Name WALGREENS #15112
Street 1500 PINEY FOREST ROAD
City DANVILLE
State VA
ZIP 24540
Phone 434 836-7144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Pharmacy
Lab Director KATHERINE B. BROOKS

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This page was last updated on: 6/4/2025