49D2032698 CLIA NUMBER - WALGREENS #11381

Laboratory Demographics

  • CLIA Code: 49D2032698
  • Facility Name: WALGREENS #11381
  • Facility Address: 573 N MAIN STREET
    KILMARNOCK, VA
    ZIP 22482
  • Facility Phone: 804 435-8890
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA HIBBERD-SMITH
  • NPI Number: 1184809584
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2032698
LAB Type Physician Office
Facility Name WALGREENS #11381
Street 573 N MAIN STREET
City KILMARNOCK
State VA
ZIP 22482
Phone 804 435-8890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director LISA HIBBERD-SMITH

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