49D2043701 CLIA NUMBER - WALGREENS #04031

Laboratory Demographics

  • CLIA Code: 49D2043701
  • Facility Name: WALGREENS #04031
  • Facility Address: 7900 WEST BROAD STREET
    RICHMOND, VA
    ZIP 23294
  • Facility Phone: 804 934-9363
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYKUMAR A. PATEL
  • NPI Number: 1659386605
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2043701
LAB Type Pharmacy
Facility Name WALGREENS #04031
Street 7900 WEST BROAD STREET
City RICHMOND
State VA
ZIP 23294
Phone 804 934-9363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2023
Certificate Expiration Date 11/23/2025
Facility Type Pharmacy
Lab Director JAYKUMAR A. PATEL

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