49D2063328 CLIA NUMBER - WALGREENS #15344

Laboratory Demographics

  • CLIA Code: 49D2063328
  • Facility Name: WALGREENS #15344
  • Facility Address: 11500 WEST BROAD STREET
    RICHMOND, VA
    ZIP 23233
  • Facility Phone: 804 360-2531
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AGNETA L. FILISETTI
  • NPI Number: 1669816351
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2063328
LAB Type Pharmacy
Facility Name WALGREENS #15344
Street 11500 WEST BROAD STREET
City RICHMOND
State VA
ZIP 23233
Phone 804 360-2531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Pharmacy
Lab Director AGNETA L. FILISETTI

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