49D2176344 CLIA NUMBER - SPECIALTY CARE RX

Laboratory Demographics

  • CLIA Code: 49D2176344
  • Facility Name: SPECIALTY CARE RX
  • Facility Address: 111 FASHION RD SUITES ABC
    POUNDING MILL, VA
    ZIP 24637
  • Facility Phone: 276 345-0284
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WESLEY WATERS III
  • NPI Number: 1053841015
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2176344
LAB Type Pharmacy
Facility Name SPECIALTY CARE RX
Street 111 FASHION RD SUITES ABC
City POUNDING MILL
State VA
ZIP 24637
Phone 276 345-0284
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Pharmacy
Lab Director WESLEY WATERS III

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