49D2217522 CLIA NUMBER - WALGREENS #15447

Laboratory Demographics

  • CLIA Code: 49D2217522
  • Facility Name: WALGREENS #15447
  • Facility Address: 645 FIRST COLONIAL RD
    VIRGINIA BEACH, VA
    ZIP 23451
  • Facility Phone: 757 985-3631
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARECELLINUS OSUCHUKWU
  • NPI Number: 1104214675
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2217522
LAB Type Pharmacy
Facility Name WALGREENS #15447
Street 645 FIRST COLONIAL RD
City VIRGINIA BEACH
State VA
ZIP 23451
Phone 757 985-3631
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 MARECELLINUS OSUCHUKWU

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This page was last updated on: 6/4/2025