49D2026705 CLIA NUMBER - WALGREENS 04617

Laboratory Demographics

  • CLIA Code: 49D2026705
  • Facility Name: WALGREENS 04617
  • Facility Address: 919 W MERCURY BOULEVARD
    HAMPTON, VA
    ZIP 23666
  • Facility Phone: 757 827-2995
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIKA S. GRIFFITH
  • NPI Number: 1790228146
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 49D2026705
LAB Type Pharmacy
Facility Name WALGREENS 04617
Street 919 W MERCURY BOULEVARD
City HAMPTON
State VA
ZIP 23666
Phone 757 827-2995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Pharmacy
Lab Director ERIKA S. GRIFFITH

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