49D2043700 CLIA NUMBER - WALGREENS #7114

Laboratory Demographics

  • CLIA Code: 49D2043700
  • Facility Name: WALGREENS #7114
  • Facility Address: 11300 NUCKOLS ROAD
    GLEN ALLEN, VA
    ZIP 23059
  • Facility Phone: 804 270-4683
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMAH MOHAMED
  • NPI Number: 1902813959
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2043700
LAB Type Pharmacy
Facility Name WALGREENS #7114
Street 11300 NUCKOLS ROAD
City GLEN ALLEN
State VA
ZIP 23059
Phone 804 270-4683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Pharmacy
Lab Director SAMAH MOHAMED

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