49D2218150 CLIA NUMBER - WALGREENS #17768

Laboratory Demographics

  • CLIA Code: 49D2218150
  • Facility Name: WALGREENS #17768
  • Facility Address: 607 ENGLAND ST
    ASHLAND, VA
    ZIP 23005
  • Facility Phone: 804 752-6451
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASSANDRA L. WOOD
  • NPI Number: 1255854220
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2218150
LAB Type Pharmacy
Facility Name WALGREENS #17768
Street 607 ENGLAND ST
City ASHLAND
State VA
ZIP 23005
Phone 804 752-6451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director CASSANDRA L. WOOD

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