49D2046863 CLIA NUMBER - WALGREENS # 7604

Laboratory Demographics

  • CLIA Code: 49D2046863
  • Facility Name: WALGREENS # 7604
  • Facility Address: 1725 W MAIN STREET
    SALEM, VA
    ZIP 24153
  • Facility Phone: 540 387-2901
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY D. GIBBS
  • NPI Number: 1285649236
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2046863
LAB Type Pharmacy
Facility Name WALGREENS # 7604
Street 1725 W MAIN STREET
City SALEM
State VA
ZIP 24153
Phone 540 387-2901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director ASHLEY D. GIBBS

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