49D2201909 CLIA NUMBER - RITE AID PHARMACY 11305

Laboratory Demographics

  • CLIA Code: 49D2201909
  • Facility Name: RITE AID PHARMACY 11305
  • Facility Address: 115 BRUNSWICK SQUARE COURT
    LAWRENCEVILLE, VA
    ZIP 23868
  • Facility Phone: 434 848-4247
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS C. GIGLIO
  • NPI Number: 1891894036
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2201909
LAB Type Pharmacy
Facility Name RITE AID PHARMACY 11305
Street 115 BRUNSWICK SQUARE COURT
City LAWRENCEVILLE
State VA
ZIP 23868
Phone 434 848-4247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Pharmacy
Lab Director THOMAS C. GIGLIO

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This page was last updated on: 6/4/2025