49D2014613 CLIA NUMBER - WALGREENS #10331

Laboratory Demographics

  • CLIA Code: 49D2014613
  • Facility Name: WALGREENS #10331
  • Facility Address: 13926 LEE HIGHWAY
    CENTREVILLE, VA
    ZIP 20120
  • Facility Phone: 703 259-6200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHUONG ANH VU
  • NPI Number: 1487982518
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2014613
LAB Type Pharmacy
Facility Name WALGREENS #10331
Street 13926 LEE HIGHWAY
City CENTREVILLE
State VA
ZIP 20120
Phone 703 259-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Pharmacy
Lab Director PHUONG ANH VU

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