49D2249222 CLIA NUMBER - BLACKSBURG PHARMACY

Laboratory Demographics

  • CLIA Code: 49D2249222
  • Facility Name: BLACKSBURG PHARMACY
  • Facility Address: 1445 NORTH MAIN STREET
    BLACKSBURG, VA
    ZIP 24060
  • Facility Phone: (540) 552-3000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL J. PUCKETT
  • NPI Number: 1205255312
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2249222
LAB Type Pharmacy
Facility Name BLACKSBURG PHARMACY
Street 1445 NORTH MAIN STREET
City BLACKSBURG
State VA
ZIP 24060
Phone 5405523000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2026
Certificate Expiration Date 1/18/2028
Facility Type Pharmacy
Lab Director DANIEL J. PUCKETT

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