49D2221712 CLIA NUMBER - WALGREENS #19419

Laboratory Demographics

CLIA Number: 49D2221712

Facility Name: WALGREENS #19419

Facility Address:
4720-B LEE HWY
ARLINGTON, VA
ZIP 22207
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Facility Phone Number: 703 524-9003

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1598283947

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	49D2221712
LAB Type	Pharmacy
Facility Name	WALGREENS #19419
Street	4720-B LEE HWY
City	ARLINGTON
State	VA
ZIP	22207
Phone	703 524-9003
CertificateType	4
CertificateEffectiveDate	9/25/2023
CertificateExpirationDate	9/24/2025
FacilityType	Waiver

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