49D2324019 CLIA NUMBER - SHAWSVILLE PHARMACY

Laboratory Demographics

  • CLIA Code: 49D2324019
  • Facility Name: SHAWSVILLE PHARMACY
  • Facility Address: 250 ALLEGHANY SPRING RD
    SHAWSVILLE, VA
    ZIP 24162
  • Facility Phone: 540 268-2600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY C. WILDMAN
  • NPI Number: 1275101545
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2324019
LAB Type Pharmacy
Facility Name SHAWSVILLE PHARMACY
Street 250 ALLEGHANY SPRING RD
City SHAWSVILLE
State VA
ZIP 24162
Phone 540 268-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Pharmacy
Lab Director KIMBERLY C. WILDMAN

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