49D2012698 CLIA NUMBER - WALGREENS 02732

Laboratory Demographics

  • CLIA Code: 49D2012698
  • Facility Name: WALGREENS 02732
  • Facility Address: 9801 BROOK ROAD
    GLEN ALLEN, VA
    ZIP 23059
  • Facility Phone: 804 264-9587
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMIE L. HAIGHT
  • NPI Number: 1467467415
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2012698
LAB Type Physician Office
Facility Name WALGREENS 02732
Street 9801 BROOK ROAD
City GLEN ALLEN
State VA
ZIP 23059
Phone 804 264-9587
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Physician Office
Lab Director JAMIE L. HAIGHT

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