49D2290728 CLIA NUMBER - WALGREENS 17431

Laboratory Demographics

  • CLIA Code: 49D2290728
  • Facility Name: WALGREENS 17431
  • Facility Address: 3059 HALF AVE
    SAINT PAUL, VA
    ZIP 24283
  • Facility Phone: 276 762-5011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA M. MAINES
  • NPI Number: 1255854139
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2290728
LAB Type Pharmacy
Facility Name WALGREENS 17431
Street 3059 HALF AVE
City SAINT PAUL
State VA
ZIP 24283
Phone 276 762-5011
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 LISA M. MAINES

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