49D2047750 CLIA NUMBER - WALGREENS #4527

Laboratory Demographics

  • CLIA Code: 49D2047750
  • Facility Name: WALGREENS #4527
  • Facility Address: 801 INDEPENDENCE BLVD
    VIRGINIA BEACH, VA
    ZIP 23455
  • Facility Phone: 757 519-9877
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRYSTLE LUALHATI
  • NPI Number: 1578570503
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2047750
LAB Type Pharmacy
Facility Name WALGREENS #4527
Street 801 INDEPENDENCE BLVD
City VIRGINIA BEACH
State VA
ZIP 23455
Phone 757 519-9877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Pharmacy
Lab Director CHRYSTLE LUALHATI

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