49D2050605 CLIA NUMBER - WALGREENS #1257

Laboratory Demographics

  • CLIA Code: 49D2050605
  • Facility Name: WALGREENS #1257
  • Facility Address: 103 COMMONWEALTH BOULEVARD, W
    MARTINSVILLE, VA
    ZIP 24112
  • Facility Phone: 276 632-6457
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIPTIBEN B. PATEL
  • NPI Number: 1366457319
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2050605
LAB Type Physician Office
Facility Name WALGREENS #1257
Street 103 COMMONWEALTH BOULEVARD, W
City MARTINSVILLE
State VA
ZIP 24112
Phone 276 632-6457
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director DIPTIBEN B. PATEL

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