49D2297254 CLIA NUMBER - HALIFAX PHARMACY

Laboratory Demographics

  • CLIA Code: 49D2297254
  • Facility Name: HALIFAX PHARMACY
  • Facility Address: 4121 HAIFAX ROAD
    SOUTH BOSTON, VA
    ZIP 24592
  • Facility Phone: 434 575-0511
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHEN B. ANDERSON
  • NPI Number: 1861586687
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2297254
LAB Type Pharmacy
Facility Name HALIFAX PHARMACY
Street 4121 HAIFAX ROAD
City SOUTH BOSTON
State VA
ZIP 24592
Phone 434 575-0511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Pharmacy
Lab Director STEPHEN B. ANDERSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025