49D1088539 CLIA NUMBER - WALGREENS PHARMACY - STORE #09975

Laboratory Demographics

  • CLIA Code: 49D1088539
  • Facility Name: WALGREENS PHARMACY - STORE #09975
  • Facility Address: 1309 RICHMOND ROAD
    WILLIAMSBURG, VA
    ZIP 23185
  • Facility Phone: 757 229-0754
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: LYZ NUNEZ
  • NPI Number: 1003931635
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1088539
LAB Type Industrial
Facility Name WALGREENS PHARMACY - STORE #09975
Street 1309 RICHMOND ROAD
City WILLIAMSBURG
State VA
ZIP 23185
Phone 757 229-0754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Industrial
Lab Director LYZ NUNEZ

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