49D2230933 CLIA NUMBER - WALGREENS #19650

Laboratory Demographics

  • CLIA Code: 49D2230933
  • Facility Name: WALGREENS #19650
  • Facility Address: 2820 COLUMBIA PIKE
    ARLINGTON, VA
    ZIP 22204
  • Facility Phone: 703 521-3143
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BETEWOIN DUBALE
  • NPI Number: 1508384967
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2230933
LAB Type Pharmacy
Facility Name WALGREENS #19650
Street 2820 COLUMBIA PIKE
City ARLINGTON
State VA
ZIP 22204
Phone 703 521-3143
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2023
Certificate Expiration Date 7/28/2025
Facility Type Pharmacy
Lab Director BETEWOIN DUBALE

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