49D2217518 CLIA NUMBER - WALGREENS #17547

Laboratory Demographics

CLIA Number: 49D2217518

Facility Name: WALGREENS #17547

Facility Address:
590 MADISON ROAD
CULPEPER, VA
ZIP 22701
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Facility Phone Number: 540 727-0483

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1114443348

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 4
CertificateEffectiveDate 3/22/2023
CertificateExpirationDate 3/21/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024