49D2235830 CLIA NUMBER - WALGREENS #18429

Laboratory Demographics

  • CLIA Code: 49D2235830
  • Facility Name: WALGREENS #18429
  • Facility Address: 46965 CEDAR LAKE PLAZA
    STERLING, VA
    ZIP 20164
  • Facility Phone: 703 430-3328
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROSHANAK NOROUZI
  • NPI Number: 1902324353
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2235830
LAB Type Pharmacy
Facility Name WALGREENS #18429
Street 46965 CEDAR LAKE PLAZA
City STERLING
State VA
ZIP 20164
Phone 703 430-3328
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Pharmacy
Lab Director ROSHANAK NOROUZI

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