49D2290725 CLIA NUMBER - WILSON PHARMACY DBA BALLAD HEALTH PHARMACY AT JMH

Laboratory Demographics

  • CLIA Code: 49D2290725
  • Facility Name: WILSON PHARMACY DBA BALLAD HEALTH PHARMACY AT JMH
  • Facility Address: 16000 JOHNSTON MEMORIAL DRIVE
    ABINGDON, VA
    ZIP 24211
  • Facility Phone: (276) 258-1990
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY H. NICHOLSON
  • NPI Number: 1245577071
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2290725
LAB Type Pharmacy
Facility Name WILSON PHARMACY DBA BALLAD HEALTH PHARMACY AT JMH
Street 16000 JOHNSTON MEMORIAL DRIVE
City ABINGDON
State VA
ZIP 24211
Phone 2762581990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Pharmacy
Lab Director KIMBERLY H. NICHOLSON

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