49D2283027 CLIA NUMBER - VIRGINIA CVS PHARMACY,LLC DBA CVS/PHARMACY #02453

Laboratory Demographics

  • CLIA Code: 49D2283027
  • Facility Name: VIRGINIA CVS PHARMACY,LLC DBA CVS/PHARMACY #02453
  • Facility Address: 11003 LEE HWY
    FAIRFAX, VA
    ZIP 22030
  • Facility Phone: 571 432-5801
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD MAKHDOOM
  • NPI Number: 1316041080
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2283027
LAB Type Pharmacy
Facility Name VIRGINIA CVS PHARMACY,LLC DBA CVS/PHARMACY #02453
Street 11003 LEE HWY
City FAIRFAX
State VA
ZIP 22030
Phone 571 432-5801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Pharmacy
Lab Director MOHAMMAD MAKHDOOM

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