49D2201243 CLIA NUMBER - RITE AID PHARMACY 11287

Laboratory Demographics

  • CLIA Code: 49D2201243
  • Facility Name: RITE AID PHARMACY 11287
  • Facility Address: 421 WYTHE CREEK ROAD
    POQUOSON, VA
    ZIP 23662
  • Facility Phone: 757 868-0297
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS C. GIGLIO
  • NPI Number: 1700985942
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2201243
LAB Type Pharmacy
Facility Name RITE AID PHARMACY 11287
Street 421 WYTHE CREEK ROAD
City POQUOSON
State VA
ZIP 23662
Phone 757 868-0297
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Pharmacy
Lab Director THOMAS C. GIGLIO

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This page was last updated on: 3/20/2025