49D2052326 CLIA NUMBER - WALGREENS #10691

Laboratory Demographics

  • CLIA Code: 49D2052326
  • Facility Name: WALGREENS #10691
  • Facility Address: 5006 BOONSBORO ROAD
    LYNCHBURG, VA
    ZIP 24503
  • Facility Phone: 434 386-6412
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MALLORIE STANZIONE
  • NPI Number: 1811187727
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2052326
LAB Type Pharmacy
Facility Name WALGREENS #10691
Street 5006 BOONSBORO ROAD
City LYNCHBURG
State VA
ZIP 24503
Phone 434 386-6412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Pharmacy
Lab Director MALLORIE STANZIONE

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