49D2015646 CLIA NUMBER - WALGREENS #03683

Laboratory Demographics

  • CLIA Code: 49D2015646
  • Facility Name: WALGREENS #03683
  • Facility Address: 11119 HULL STREET
    MIDLOTHIAN, VA
    ZIP 23112
  • Facility Phone: 804 744-5986
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY J. THOMPKINS
  • NPI Number: 1821003864
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2015646
LAB Type Pharmacy
Facility Name WALGREENS #03683
Street 11119 HULL STREET
City MIDLOTHIAN
State VA
ZIP 23112
Phone 804 744-5986
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Pharmacy
Lab Director KIMBERLY J. THOMPKINS

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