49D2032692 CLIA NUMBER - WALGREENS #06365

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Laboratory Demographics

CLIA Number: 49D2032692

Facility Name: WALGREENS #06365

Facility Address:
1798 N PARHAM ROAD
RICHMOND, VA
ZIP 23229
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Facility Phone Number: 804 935-3008

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982127676

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	49D2032692
LAB Type	Physician Office
Facility Name	WALGREENS #06365
Street	1798 N PARHAM ROAD
City	RICHMOND
State	VA
ZIP	23229
Phone	804 935-3008
CertificateType	4
CertificateEffectiveDate	6/4/2023
CertificateExpirationDate	6/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024