49D2227364 CLIA NUMBER - WALGREENS #17217

Laboratory Demographics

  • CLIA Code: 49D2227364
  • Facility Name: WALGREENS #17217
  • Facility Address: 7100 SILVER LAKE BOULEVARD
    ALEXANDRIA, VA
    ZIP 22315
  • Facility Phone: 703 922-4604
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNA JUNG HWNAG
  • NPI Number: 1699290643
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2227364
LAB Type Pharmacy
Facility Name WALGREENS #17217
Street 7100 SILVER LAKE BOULEVARD
City ALEXANDRIA
State VA
ZIP 22315
Phone 703 922-4604
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Pharmacy
Lab Director JENNA JUNG HWNAG

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