49D2014614 CLIA NUMBER - WALGREENS #04921

Laboratory Demographics

  • CLIA Code: 49D2014614
  • Facility Name: WALGREENS #04921
  • Facility Address: 3201 BOULEVARD
    COLONIAL HEIGHTS, VA
    ZIP 23834
  • Facility Phone: 804 524-0003
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIN KONOPKA
  • NPI Number: 1831104884
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2014614
LAB Type Pharmacy
Facility Name WALGREENS #04921
Street 3201 BOULEVARD
City COLONIAL HEIGHTS
State VA
ZIP 23834
Phone 804 524-0003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Pharmacy
Lab Director KRISTIN KONOPKA

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