49D2186534 CLIA NUMBER - VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY # 6296

Laboratory Demographics

  • CLIA Code: 49D2186534
  • Facility Name: VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY # 6296
  • Facility Address: 2712 PETERS CREEK ROAD
    ROANOKE, VA
    ZIP 24019
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNEY HERRON
  • NPI Number: 1275602237
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2186534
LAB Type Pharmacy
Facility Name VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY # 6296
Street 2712 PETERS CREEK ROAD
City ROANOKE
State VA
ZIP 24019
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Pharmacy
Lab Director COURTNEY HERRON

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