49D2188856 CLIA NUMBER - SPARTAN DRUG

Laboratory Demographics

  • CLIA Code: 49D2188856
  • Facility Name: SPARTAN DRUG
  • Facility Address: 201 LAUREL AVE
    COEBURN, VA
    ZIP 24230
  • Facility Phone: (276) 807-7106
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW S. VILLIARD

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CLIA Record

Field Name Field Value
CLIA Number 49D2188856
LAB Type Pharmacy
Facility Name SPARTAN DRUG
Street 201 LAUREL AVE
City COEBURN
State VA
ZIP 24230
Phone 2768077106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Pharmacy
Lab Director MATTHEW S. VILLIARD

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This page was last updated on: 5/18/2026