49D2195267 CLIA NUMBER - GLADE PHARMACY

Laboratory Demographics

  • CLIA Code: 49D2195267
  • Facility Name: GLADE PHARMACY
  • Facility Address: 33472 LEE HWY
    GLADE SPRING, VA
    ZIP 24340
  • Facility Phone: 276 429-2004
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY TAYLOR
  • NPI Number: 1669656179
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2195267
LAB Type Pharmacy
Facility Name GLADE PHARMACY
Street 33472 LEE HWY
City GLADE SPRING
State VA
ZIP 24340
Phone 276 429-2004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Pharmacy
Lab Director JEFFREY TAYLOR

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