49D2040060 CLIA NUMBER - WALGREENS #09837

Laboratory Demographics

  • CLIA Code: 49D2040060
  • Facility Name: WALGREENS #09837
  • Facility Address: 20321 SUSAN LESLIE DRIVE
    ASHBURN, VA
    ZIP 20147
  • Facility Phone: 703 726-8647
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANEED A. KALA
  • NPI Number: 1386830826
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2040060
LAB Type Pharmacy
Facility Name WALGREENS #09837
Street 20321 SUSAN LESLIE DRIVE
City ASHBURN
State VA
ZIP 20147
Phone 703 726-8647
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 HANEED A. KALA

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