49D2040040 CLIA NUMBER - WALGREENS #10822

Laboratory Demographics

  • CLIA Code: 49D2040040
  • Facility Name: WALGREENS #10822
  • Facility Address: 4985 WELLINGTON ROAD
    GAINESVILLE, VA
    ZIP 20155
  • Facility Phone: 703 753-2683
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIYAL N. BASHIR
  • NPI Number: 1518111343
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2040040
LAB Type Pharmacy
Facility Name WALGREENS #10822
Street 4985 WELLINGTON ROAD
City GAINESVILLE
State VA
ZIP 20155
Phone 703 753-2683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Pharmacy
Lab Director DANIYAL N. BASHIR

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