49D2040028 CLIA NUMBER - WALGREENS #10394

Laboratory Demographics

  • CLIA Code: 49D2040028
  • Facility Name: WALGREENS #10394
  • Facility Address: 701 FAIRFAX PIKE
    STEPHENS CITY, VA
    ZIP 22655
  • Facility Phone: 540 869-4130
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MISHAL JAWAID
  • NPI Number: 1710107214
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2040028
LAB Type Pharmacy
Facility Name WALGREENS #10394
Street 701 FAIRFAX PIKE
City STEPHENS CITY
State VA
ZIP 22655
Phone 540 869-4130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director MISHAL JAWAID

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