49D2257757 CLIA NUMBER - TOM LAMARTINA INC DBA BROOKNEAL DRUG CO

Laboratory Demographics

  • CLIA Code: 49D2257757
  • Facility Name: TOM LAMARTINA INC DBA BROOKNEAL DRUG CO
  • Facility Address: 120 RUSH STREET
    BROOKNEAL, VA
    ZIP 24528
  • Facility Phone: 434 376-2220
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHAN H. PAYNE
  • NPI Number: 1174610083
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2257757
LAB Type Pharmacy
Facility Name TOM LAMARTINA INC DBA BROOKNEAL DRUG CO
Street 120 RUSH STREET
City BROOKNEAL
State VA
ZIP 24528
Phone 434 376-2220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Pharmacy
Lab Director NATHAN H. PAYNE

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