49D2029772 CLIA NUMBER - WALGREENS #12360

Laboratory Demographics

  • CLIA Code: 49D2029772
  • Facility Name: WALGREENS #12360
  • Facility Address: 3901 OAKLAWN BOULEVARD
    HOPEWELL, VA
    ZIP 23860
  • Facility Phone: 804 452-2542
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JORDON STEVES
  • NPI Number: 1629223631
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2029772
LAB Type Pharmacy
Facility Name WALGREENS #12360
Street 3901 OAKLAWN BOULEVARD
City HOPEWELL
State VA
ZIP 23860
Phone 804 452-2542
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Pharmacy
Lab Director JORDON STEVES

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