49D2029775 CLIA NUMBER - WALGREENS #10713

Laboratory Demographics

  • CLIA Code: 49D2029775
  • Facility Name: WALGREENS #10713
  • Facility Address: 26306 COX ROAD
    PETERSBURG, VA
    ZIP 23803
  • Facility Phone: 804 863-4922
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC M. COLPO
  • NPI Number: 1902097033
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2029775
LAB Type Pharmacy
Facility Name WALGREENS #10713
Street 26306 COX ROAD
City PETERSBURG
State VA
ZIP 23803
Phone 804 863-4922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Pharmacy
Lab Director ERIC M. COLPO

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