49D2283986 CLIA NUMBER - VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07503

Laboratory Demographics

  • CLIA Code: 49D2283986
  • Facility Name: VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07503
  • Facility Address: 3909 CHALLENGER AVE
    ROANOKE, VA
    ZIP 24012
  • Facility Phone: (540) 977-1376
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHELLE BROWN
  • NPI Number: 1700989449
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2283986
LAB Type Pharmacy
Facility Name VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07503
Street 3909 CHALLENGER AVE
City ROANOKE
State VA
ZIP 24012
Phone 5409771376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Pharmacy
Lab Director RACHELLE BROWN

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