49D2283457 CLIA NUMBER - VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #01400

Laboratory Demographics

  • CLIA Code: 49D2283457
  • Facility Name: VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #01400
  • Facility Address: 1150 WEST BROAD STREET
    FALLS CHURCH, VA
    ZIP 22046
  • Facility Phone: 703 534-4500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK C. LUNDBALD
  • NPI Number: 1003910761
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2283457
LAB Type Pharmacy
Facility Name VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #01400
Street 1150 WEST BROAD STREET
City FALLS CHURCH
State VA
ZIP 22046
Phone 703 534-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2023
Certificate Expiration Date 6/7/2025
Facility Type Pharmacy
Lab Director MARK C. LUNDBALD

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This page was last updated on: 3/20/2025