49D2014432 CLIA NUMBER - WALGREENS #10106

Laboratory Demographics

  • CLIA Code: 49D2014432
  • Facility Name: WALGREENS #10106
  • Facility Address: 3520 ELLWOOD AVENUE
    RICHMOND, VA
    ZIP 23221
  • Facility Phone: 804 342-8864
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALYSSA E. SMITH
  • NPI Number: 1003821067
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2014432
LAB Type Pharmacy
Facility Name WALGREENS #10106
Street 3520 ELLWOOD AVENUE
City RICHMOND
State VA
ZIP 23221
Phone 804 342-8864
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Pharmacy
Lab Director ALYSSA E. SMITH

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