49D2052219 CLIA NUMBER - WALGREENS #7588

Laboratory Demographics

  • CLIA Code: 49D2052219
  • Facility Name: WALGREENS #7588
  • Facility Address: 1169 NORTH MILITARY HIGHWAY
    NORFOLK, VA
    ZIP 23502
  • Facility Phone: 757 466-7036
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TANYA ANN MARIE MENNS
  • NPI Number: 1720093776
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2052219
LAB Type Pharmacy
Facility Name WALGREENS #7588
Street 1169 NORTH MILITARY HIGHWAY
City NORFOLK
State VA
ZIP 23502
Phone 757 466-7036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Pharmacy
Lab Director TANYA ANN MARIE MENNS

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