49D2016668 CLIA NUMBER - WALGREENS #04924

Laboratory Demographics

  • CLIA Code: 49D2016668
  • Facility Name: WALGREENS #04924
  • Facility Address: 2232 E LITTLE CREEK ROAD
    NORFOLK, VA
    ZIP 23518
  • Facility Phone: 757 480-4116
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACKIE WONG
  • NPI Number: 1568477511
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2016668
LAB Type Pharmacy
Facility Name WALGREENS #04924
Street 2232 E LITTLE CREEK ROAD
City NORFOLK
State VA
ZIP 23518
Phone 757 480-4116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Pharmacy
Lab Director JACKIE WONG

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This page was last updated on: 3/20/2025