49D2283476 CLIA NUMBER - VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04335

Laboratory Demographics

  • CLIA Code: 49D2283476
  • Facility Name: VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04335
  • Facility Address: 1 MCWHIRT LOOP
    FREDERICKSBURG, VA
    ZIP 22406
  • Facility Phone: 540 371-2627
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HAILU WELDESENBET
  • NPI Number: 1972606622
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2283476
LAB Type Pharmacy
Facility Name VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04335
Street 1 MCWHIRT LOOP
City FREDERICKSBURG
State VA
ZIP 22406
Phone 540 371-2627
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 HAILU WELDESENBET

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