49D2254513 CLIA NUMBER - CORNERSTONE PHARMACY

Laboratory Demographics

  • CLIA Code: 49D2254513
  • Facility Name: CORNERSTONE PHARMACY
  • Facility Address: 205 KILBOURNE AVENUE
    APPALACHIA, VA
    ZIP 24216
  • Facility Phone: 276 565-3434
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEONARD D. JESSEE
  • NPI Number: 1992942841
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2254513
LAB Type Pharmacy
Facility Name CORNERSTONE PHARMACY
Street 205 KILBOURNE AVENUE
City APPALACHIA
State VA
ZIP 24216
Phone 276 565-3434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Pharmacy
Lab Director LEONARD D. JESSEE

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This page was last updated on: 6/4/2025