49D2153015 CLIA NUMBER - FORK UNION PHARMACY

Laboratory Demographics

  • CLIA Code: 49D2153015
  • Facility Name: FORK UNION PHARMACY
  • Facility Address: 4316B JAMES MADISON HWY
    FORK UNION, VA
    ZIP 23055
  • Facility Phone: 434 842-3208
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IVAN D. YONCE
  • NPI Number: 1417970880
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2153015
LAB Type Pharmacy
Facility Name FORK UNION PHARMACY
Street 4316B JAMES MADISON HWY
City FORK UNION
State VA
ZIP 23055
Phone 434 842-3208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Pharmacy
Lab Director IVAN D. YONCE

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