49D2283470 CLIA NUMBER - VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #02009

Laboratory Demographics

  • CLIA Code: 49D2283470
  • Facility Name: VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #02009
  • Facility Address: 12890 TOUCHSTONE CIRCLE
    WOODBRIDGE, VA
    ZIP 22192
  • Facility Phone: (703) 590-0643
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RUTH T. MENSAH
  • NPI Number: 1083718753
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2283470
LAB Type Pharmacy
Facility Name VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #02009
Street 12890 TOUCHSTONE CIRCLE
City WOODBRIDGE
State VA
ZIP 22192
Phone 7035900643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Pharmacy
Lab Director RUTH T. MENSAH

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This page was last updated on: 5/18/2026