49D2212824 CLIA NUMBER - WALGREENS #17334

Laboratory Demographics

  • CLIA Code: 49D2212824
  • Facility Name: WALGREENS #17334
  • Facility Address: 5419 DICKENSON HIGHWAY
    CLINTWOOD, VA
    ZIP 24228
  • Facility Phone: 276 926-6555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WESLEY BEVINS
  • NPI Number: 1851816953
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2212824
LAB Type Pharmacy
Facility Name WALGREENS #17334
Street 5419 DICKENSON HIGHWAY
City CLINTWOOD
State VA
ZIP 24228
Phone 276 926-6555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Pharmacy
Lab Director WESLEY BEVINS

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