49D2052172 CLIA NUMBER - WALGREENS #13682

Laboratory Demographics

  • CLIA Code: 49D2052172
  • Facility Name: WALGREENS #13682
  • Facility Address: 761 E MAIN STREET
    PURCELLVILLE, VA
    ZIP 20132
  • Facility Phone: 540 751-0962
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHERYAS D. PATEL
  • NPI Number: 1245588177
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2052172
LAB Type Pharmacy
Facility Name WALGREENS #13682
Street 761 E MAIN STREET
City PURCELLVILLE
State VA
ZIP 20132
Phone 540 751-0962
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director SHERYAS D. PATEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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