49D2203913 CLIA NUMBER - WALGREENS #17362

Laboratory Demographics

  • CLIA Code: 49D2203913
  • Facility Name: WALGREENS #17362
  • Facility Address: 1005 E MAIN ST
    LEBANON, VA
    ZIP 24266
  • Facility Phone: 276 701-2057
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT GILMER
  • NPI Number: 1477076347
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2203913
LAB Type Pharmacy
Facility Name WALGREENS #17362
Street 1005 E MAIN ST
City LEBANON
State VA
ZIP 24266
Phone 276 701-2057
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 SCOTT GILMER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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