49D2246720 CLIA NUMBER - MARTIN'S PHARMACY

Laboratory Demographics

  • CLIA Code: 49D2246720
  • Facility Name: MARTIN'S PHARMACY
  • Facility Address: 400 N WASHINGTON AVE
    PULASKI, VA
    ZIP 24301
  • Facility Phone: 540 980-4060
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CANDICE D. SHAY
  • NPI Number: 1255477873
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2246720
LAB Type Pharmacy
Facility Name MARTIN'S PHARMACY
Street 400 N WASHINGTON AVE
City PULASKI
State VA
ZIP 24301
Phone 540 980-4060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Pharmacy
Lab Director CANDICE D. SHAY

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