49D2212949 CLIA NUMBER - WALGREENS #17429

Laboratory Demographics

  • CLIA Code: 49D2212949
  • Facility Name: WALGREENS #17429
  • Facility Address: 1401 S MAIN ST
    FARMVILLE, VA
    ZIP 23901
  • Facility Phone: 434 392-4165
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA F. MCDANIEL
  • NPI Number: 1942723911
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2212949
LAB Type Pharmacy
Facility Name WALGREENS #17429
Street 1401 S MAIN ST
City FARMVILLE
State VA
ZIP 23901
Phone 434 392-4165
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 LISA F. MCDANIEL

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