49D2012776 CLIA NUMBER - WALGREENS #07115

Laboratory Demographics

  • CLIA Code: 49D2012776
  • Facility Name: WALGREENS #07115
  • Facility Address: 2004 WARDS ROAD
    LYNCHBURG, VA
    ZIP 24502
  • Facility Phone: 434 832-0935
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THAO L. NGUYEN
  • NPI Number: 1376558320
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2012776
LAB Type Pharmacy
Facility Name WALGREENS #07115
Street 2004 WARDS ROAD
City LYNCHBURG
State VA
ZIP 24502
Phone 434 832-0935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Pharmacy
Lab Director THAO L. NGUYEN

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