49D2202548 CLIA NUMBER - RITE AID PHARMACY 11291

Laboratory Demographics

  • CLIA Code: 49D2202548
  • Facility Name: RITE AID PHARMACY 11291
  • Facility Address: 3701 KECOUGHTAN ROAD
    HAMPTON, VA
    ZIP 23669
  • Facility Phone: 757 728-2913
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS C. GIGLIO
  • NPI Number: 1144329376
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2202548
LAB Type Pharmacy
Facility Name RITE AID PHARMACY 11291
Street 3701 KECOUGHTAN ROAD
City HAMPTON
State VA
ZIP 23669
Phone 757 728-2913
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Pharmacy
Lab Director THOMAS C. GIGLIO

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