49D2053480 CLIA NUMBER - WALGREENS #15087

Laboratory Demographics

  • CLIA Code: 49D2053480
  • Facility Name: WALGREENS #15087
  • Facility Address: 4500 VIRGINIA BEACH BOULEVARD
    VIRGINIA BEACH, VA
    ZIP 23462
  • Facility Phone: 757 490-4651
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUDITH ACKERMANN
  • NPI Number: 1124378468
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2053480
LAB Type Pharmacy
Facility Name WALGREENS #15087
Street 4500 VIRGINIA BEACH BOULEVARD
City VIRGINIA BEACH
State VA
ZIP 23462
Phone 757 490-4651
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Pharmacy
Lab Director JUDITH ACKERMANN

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