49D2040061 CLIA NUMBER - WALGREENS #11297

Laboratory Demographics

  • CLIA Code: 49D2040061
  • Facility Name: WALGREENS #11297
  • Facility Address: 3050A NUTLEY STREET
    FAIRFAX, VA
    ZIP 22031
  • Facility Phone: 703 280-8259
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOAN H. SOK
  • NPI Number: 1659662237
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2040061
LAB Type Pharmacy
Facility Name WALGREENS #11297
Street 3050A NUTLEY STREET
City FAIRFAX
State VA
ZIP 22031
Phone 703 280-8259
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Pharmacy
Lab Director JOAN H. SOK

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