49D2046864 CLIA NUMBER - WALGREENS # 10503

Laboratory Demographics

  • CLIA Code: 49D2046864
  • Facility Name: WALGREENS # 10503
  • Facility Address: 43250 SOUTHERN WALK PLAZA
    ASHBURN, VA
    ZIP 20148
  • Facility Phone: 703 729-0693
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOHAMMED A. HOQUE
  • NPI Number: 1285840538
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2046864
LAB Type Pharmacy
Facility Name WALGREENS # 10503
Street 43250 SOUTHERN WALK PLAZA
City ASHBURN
State VA
ZIP 20148
Phone 703 729-0693
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Pharmacy
Lab Director MOHAMMED A. HOQUE

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