49D2212040 CLIA NUMBER - LYNETTE R GLOCKNER INC DBA MATHEWS PHARMACY

Laboratory Demographics

  • CLIA Code: 49D2212040
  • Facility Name: LYNETTE R GLOCKNER INC DBA MATHEWS PHARMACY
  • Facility Address: 10858 BUCKLEY HALL RD
    MATHEWS, VA
    ZIP 23109
  • Facility Phone: 804 725-2556
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LYNETTE R. GLOCKNER
  • NPI Number: 1831677459
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2212040
LAB Type Pharmacy
Facility Name LYNETTE R GLOCKNER INC DBA MATHEWS PHARMACY
Street 10858 BUCKLEY HALL RD
City MATHEWS
State VA
ZIP 23109
Phone 804 725-2556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Pharmacy
Lab Director LYNETTE R. GLOCKNER

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