49D2292710 CLIA NUMBER - WALGREENS 17306

Laboratory Demographics

  • CLIA Code: 49D2292710
  • Facility Name: WALGREENS 17306
  • Facility Address: 20822 RIVERSIDE DRIVE
    GRUNDY, VA
    ZIP 24614
  • Facility Phone: 276 935-2789
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID B. COMPTON
  • NPI Number: 1033632914
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2292710
LAB Type Pharmacy
Facility Name WALGREENS 17306
Street 20822 RIVERSIDE DRIVE
City GRUNDY
State VA
ZIP 24614
Phone 276 935-2789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Pharmacy
Lab Director DAVID B. COMPTON

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