49D2290573 CLIA NUMBER - WALGREENS 17922

Laboratory Demographics

  • CLIA Code: 49D2290573
  • Facility Name: WALGREENS 17922
  • Facility Address: 4671 RICHMOND ROAD
    WARSAW, VA
    ZIP 22572
  • Facility Phone: (804) 333-4122
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL NDULA
  • NPI Number: 1952824971
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2290573
LAB Type Pharmacy
Facility Name WALGREENS 17922
Street 4671 RICHMOND ROAD
City WARSAW
State VA
ZIP 22572
Phone 8043334122
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 MICHAEL NDULA

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: 5/15/2026