49D2030311 CLIA NUMBER - WALGREENS # 11675

Laboratory Demographics

  • CLIA Code: 49D2030311
  • Facility Name: WALGREENS # 11675
  • Facility Address: 15250 MONTANUS DRIVE
    CULPEPER, VA
    ZIP 22701
  • Facility Phone: 540 727-8976
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY L. UPDIKE
  • NPI Number: 1932356458
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2030311
LAB Type Pharmacy
Facility Name WALGREENS # 11675
Street 15250 MONTANUS DRIVE
City CULPEPER
State VA
ZIP 22701
Phone 540 727-8976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Pharmacy
Lab Director ASHLEY L. UPDIKE

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