49D2230938 CLIA NUMBER - WALGREENS #17626

Laboratory Demographics

  • CLIA Code: 49D2230938
  • Facility Name: WALGREENS #17626
  • Facility Address: 314 ROLKIN ROAD
    CHARLOTTESVILLE, VA
    ZIP 22911
  • Facility Phone: 434 979-9905
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BHAGYA L. GUMMADI
  • NPI Number: 1457874315
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2230938
LAB Type Pharmacy
Facility Name WALGREENS #17626
Street 314 ROLKIN ROAD
City CHARLOTTESVILLE
State VA
ZIP 22911
Phone 434 979-9905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Pharmacy
Lab Director BHAGYA L. GUMMADI

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