49D2221712 CLIA NUMBER - WALGREENS #19419

Laboratory Demographics

  • CLIA Code: 49D2221712
  • Facility Name: WALGREENS #19419
  • Facility Address: 4720-B LEE HWY
    ARLINGTON, VA
    ZIP 22207
  • Facility Phone: 703 524-9003
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACKIE OWEN
  • NPI Number: 1598283947
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2221712
LAB Type Pharmacy
Facility Name WALGREENS #19419
Street 4720-B LEE HWY
City ARLINGTON
State VA
ZIP 22207
Phone 703 524-9003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Pharmacy
Lab Director JACKIE OWEN

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