49D2203911 CLIA NUMBER - WALGREENS #15446

Laboratory Demographics

  • CLIA Code: 49D2203911
  • Facility Name: WALGREENS #15446
  • Facility Address: 118 WEST CONSTANCE RD
    SUFFOLK, VA
    ZIP 23434
  • Facility Phone: 757 514-3451
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE FLORES
  • NPI Number: 1588061741
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2203911
LAB Type Pharmacy
Facility Name WALGREENS #15446
Street 118 WEST CONSTANCE RD
City SUFFOLK
State VA
ZIP 23434
Phone 757 514-3451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Pharmacy
Lab Director AIMEE FLORES

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