49D2052326 CLIA NUMBER - WALGREENS #10691

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Laboratory Demographics

CLIA Number: 49D2052326

Facility Name: WALGREENS #10691

Facility Address:
5006 BOONSBORO ROAD
LYNCHBURG, VA
ZIP 24503
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Facility Phone Number: 434 386-6412

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1811187727

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	1/8/2023
CertificateExpirationDate	1/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024