49D2043705 CLIA NUMBER - WALGREENS #3681

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Laboratory Demographics

CLIA Number: 49D2043705

Facility Name: WALGREENS #3681

Facility Address:
1214 WESTOVER HILLS BOULEVARD
RICHMOND, VA
ZIP 23225
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Facility Phone Number: 804 230-6535

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1801319850

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	49D2043705
LAB Type	Pharmacy
Facility Name	WALGREENS #3681
Street	1214 WESTOVER HILLS BOULEVARD
City	RICHMOND
State	VA
ZIP	23225
Phone	804 230-6535
CertificateType	4
CertificateEffectiveDate	7/30/2023
CertificateExpirationDate	7/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024