49D2242941 CLIA NUMBER - WALGREENS #17784

Laboratory Demographics

  • CLIA Code: 49D2242941
  • Facility Name: WALGREENS #17784
  • Facility Address: 150 NORTH 11TH STREET
    WYTHEVILLE, VA
    ZIP 24382
  • Facility Phone: (276) 228-0637
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN RITCHIE
  • NPI Number: 1407379415
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2242941
LAB Type Pharmacy
Facility Name WALGREENS #17784
Street 150 NORTH 11TH STREET
City WYTHEVILLE
State VA
ZIP 24382
Phone 2762280637
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2025
Certificate Expiration Date 11/14/2027
Facility Type Pharmacy
Lab Director JONATHAN RITCHIE

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This page was last updated on: 5/18/2026