49D2203907 CLIA NUMBER - WALGREENS #17375

Laboratory Demographics

  • CLIA Code: 49D2203907
  • Facility Name: WALGREENS #17375
  • Facility Address: 372 S MAIN ST
    TIMBERVILLE, VA
    ZIP 22853
  • Facility Phone: 540 896-6407
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH I. GOTTFRIED
  • NPI Number: 1861915860
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2203907
LAB Type Pharmacy
Facility Name WALGREENS #17375
Street 372 S MAIN ST
City TIMBERVILLE
State VA
ZIP 22853
Phone 540 896-6407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Pharmacy
Lab Director SARAH I. GOTTFRIED

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