49D2040049 CLIA NUMBER - WALGREENS #09949

Laboratory Demographics

  • CLIA Code: 49D2040049
  • Facility Name: WALGREENS #09949
  • Facility Address: 42025 VILLAGE CENTER PLAZA
    ALDIE, VA
    ZIP 20105
  • Facility Phone: 703 722-2829
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HALIE A. HUTCHINSON
  • NPI Number: 1073655049
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2040049
LAB Type Pharmacy
Facility Name WALGREENS #09949
Street 42025 VILLAGE CENTER PLAZA
City ALDIE
State VA
ZIP 20105
Phone 703 722-2829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Pharmacy
Lab Director HALIE A. HUTCHINSON

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