49D2204384 CLIA NUMBER - WALGREENS #18079

Laboratory Demographics

  • CLIA Code: 49D2204384
  • Facility Name: WALGREENS #18079
  • Facility Address: 120 W RESERVIOR RD
    WOODSTOCK, VA
    ZIP 22664
  • Facility Phone: 540 459-2183
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BAHAREH AZIZI
  • NPI Number: 1821511767
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2204384
LAB Type Pharmacy
Facility Name WALGREENS #18079
Street 120 W RESERVIOR RD
City WOODSTOCK
State VA
ZIP 22664
Phone 540 459-2183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Pharmacy
Lab Director BAHAREH AZIZI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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