49D2040003 CLIA NUMBER - WALGREENS #10690

Laboratory Demographics

  • CLIA Code: 49D2040003
  • Facility Name: WALGREENS #10690
  • Facility Address: 424 SYCOLIN RD, SE
    LEESBURG, VA
    ZIP 20175
  • Facility Phone: 703 777-2354
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SOOJIN L. HARVEY
  • NPI Number: 1124345418
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2040003
LAB Type Pharmacy
Facility Name WALGREENS #10690
Street 424 SYCOLIN RD, SE
City LEESBURG
State VA
ZIP 20175
Phone 703 777-2354
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Pharmacy
Lab Director SOOJIN L. HARVEY

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