49D2078393 CLIA NUMBER - WALGREENS #13970

Laboratory Demographics

  • CLIA Code: 49D2078393
  • Facility Name: WALGREENS #13970
  • Facility Address: 4300 BACKLICK ROAD
    ANNANDALE, VA
    ZIP 22003
  • Facility Phone: 703 813-6050
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLISON E. AN
  • NPI Number: 1861828618
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2078393
LAB Type Pharmacy
Facility Name WALGREENS #13970
Street 4300 BACKLICK ROAD
City ANNANDALE
State VA
ZIP 22003
Phone 703 813-6050
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 ALLISON E. AN

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