49D2043698 CLIA NUMBER - WALGREENS #9270

Laboratory Demographics

  • CLIA Code: 49D2043698
  • Facility Name: WALGREENS #9270
  • Facility Address: 3298 S CRATER ROAD
    PETERSBURG, VA
    ZIP 23805
  • Facility Phone: 804 733-6216
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SOLOMON O. OGUNWARE
  • NPI Number: 1477568434
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2043698
LAB Type Pharmacy
Facility Name WALGREENS #9270
Street 3298 S CRATER ROAD
City PETERSBURG
State VA
ZIP 23805
Phone 804 733-6216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Pharmacy
Lab Director SOLOMON O. OGUNWARE

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