49D2036323 CLIA NUMBER - WALGREENS # 12496

Laboratory Demographics

  • CLIA Code: 49D2036323
  • Facility Name: WALGREENS # 12496
  • Facility Address: 9286 CHAMBERLAYNE ROAD
    MECHANICSVILLE, VA
    ZIP 23116
  • Facility Phone: 804 746-4347
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WAIMAN LAW
  • NPI Number: 1104112895
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2036323
LAB Type Pharmacy
Facility Name WALGREENS # 12496
Street 9286 CHAMBERLAYNE ROAD
City MECHANICSVILLE
State VA
ZIP 23116
Phone 804 746-4347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Pharmacy
Lab Director WAIMAN LAW

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This page was last updated on: 6/4/2025