49D2217518 CLIA NUMBER - WALGREENS #17547

Laboratory Demographics

  • CLIA Code: 49D2217518
  • Facility Name: WALGREENS #17547
  • Facility Address: 590 MADISON ROAD
    CULPEPER, VA
    ZIP 22701
  • Facility Phone: 540 727-0483
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TOANTHIEN S. BUI
  • NPI Number: 1114443348
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2217518
LAB Type Pharmacy
Facility Name WALGREENS #17547
Street 590 MADISON ROAD
City CULPEPER
State VA
ZIP 22701
Phone 540 727-0483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director TOANTHIEN S. BUI

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