49D2212932 CLIA NUMBER - MOOG INHEALTH PHARMACY

Laboratory Demographics

  • CLIA Code: 49D2212932
  • Facility Name: MOOG INHEALTH PHARMACY
  • Facility Address: 1301 N MAIN ST SUITE 100RX
    BLACKSBURG, VA
    ZIP 24060
  • Facility Phone: 540 553-8793
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIN SLIDER
  • NPI Number: 1801419650
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2212932
LAB Type Pharmacy
Facility Name MOOG INHEALTH PHARMACY
Street 1301 N MAIN ST SUITE 100RX
City BLACKSBURG
State VA
ZIP 24060
Phone 540 553-8793
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Pharmacy
Lab Director ERIN SLIDER

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