49D1010419 CLIA NUMBER - WALGREENS #6698

Laboratory Demographics

  • CLIA Code: 49D1010419
  • Facility Name: WALGREENS #6698
  • Facility Address: 6851 TEMIE LEE PARKWAY
    MIDLOTHIAN, VA
    ZIP 23112
  • Facility Phone: 804 639-0439
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CRISTON BASDIKIS
  • NPI Number: 1407862865
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1010419
LAB Type Pharmacy
Facility Name WALGREENS #6698
Street 6851 TEMIE LEE PARKWAY
City MIDLOTHIAN
State VA
ZIP 23112
Phone 804 639-0439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Pharmacy
Lab Director CRISTON BASDIKIS

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