49D2290566 CLIA NUMBER - WALGREENS 12359

Laboratory Demographics

  • CLIA Code: 49D2290566
  • Facility Name: WALGREENS 12359
  • Facility Address: 1517 MOUNT VERNON AVE
    ALEXANDRIA, VA
    ZIP 22301
  • Facility Phone: 703 838-5709
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARBJOT SACHDEVA
  • NPI Number: 1144647629
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2290566
LAB Type Pharmacy
Facility Name WALGREENS 12359
Street 1517 MOUNT VERNON AVE
City ALEXANDRIA
State VA
ZIP 22301
Phone 703 838-5709
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Pharmacy
Lab Director SARBJOT SACHDEVA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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