49D2015644 CLIA NUMBER - WALGREENS #04250

Laboratory Demographics

  • CLIA Code: 49D2015644
  • Facility Name: WALGREENS #04250
  • Facility Address: 20 BUFORD ROAD
    RICHMOND, VA
    ZIP 23235
  • Facility Phone: 804 320-9725
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE D. OWEN
  • NPI Number: 1174046031
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2015644
LAB Type Pharmacy
Facility Name WALGREENS #04250
Street 20 BUFORD ROAD
City RICHMOND
State VA
ZIP 23235
Phone 804 320-9725
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Pharmacy
Lab Director MICHELLE D. OWEN

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