49D2290570 CLIA NUMBER - WALGREENS 17550

Laboratory Demographics

  • CLIA Code: 49D2290570
  • Facility Name: WALGREENS 17550
  • Facility Address: 345 14TH STREET PO BOX 1501
    WEST POINT, VA
    ZIP 23181
  • Facility Phone: 804 843-2880
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LORA A. LYDICK
  • NPI Number: 1063935849
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2290570
LAB Type Pharmacy
Facility Name WALGREENS 17550
Street 345 14TH STREET PO BOX 1501
City WEST POINT
State VA
ZIP 23181
Phone 804 843-2880
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 LORA A. LYDICK

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