49D2290069 CLIA NUMBER - GOOCHLAND PHARMACY INC

Laboratory Demographics

  • CLIA Code: 49D2290069
  • Facility Name: GOOCHLAND PHARMACY INC
  • Facility Address: 1956 SANDY HOOK RD
    GOOCHLAND, VA
    ZIP 23063
  • Facility Phone: 804 556-3607
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARYL K. JOHNSON
  • NPI Number: 1649203746
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2290069
LAB Type Pharmacy
Facility Name GOOCHLAND PHARMACY INC
Street 1956 SANDY HOOK RD
City GOOCHLAND
State VA
ZIP 23063
Phone 804 556-3607
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Pharmacy
Lab Director DARYL K. JOHNSON

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