49D2283191 CLIA NUMBER - VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #01391

Laboratory Demographics

  • CLIA Code: 49D2283191
  • Facility Name: VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #01391
  • Facility Address: 2200 TACKETTS MILL
    WOODBRIDGE, VA
    ZIP 22192
  • Facility Phone: 703 494-9108
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BESHOVI AMIN
  • NPI Number: 1790889459
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2283191
LAB Type Pharmacy
Facility Name VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #01391
Street 2200 TACKETTS MILL
City WOODBRIDGE
State VA
ZIP 22192
Phone 703 494-9108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Pharmacy
Lab Director BESHOVI AMIN

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