49D2290724 CLIA NUMBER - WALGREENS 17200

Laboratory Demographics

  • CLIA Code: 49D2290724
  • Facility Name: WALGREENS 17200
  • Facility Address: 20800 GREAT FALLS PLAZA
    STERLING, VA
    ZIP 20165
  • Facility Phone: 703 421-4020
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARWA A. AL MASHTA
  • NPI Number: 1528583572
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2290724
LAB Type Pharmacy
Facility Name WALGREENS 17200
Street 20800 GREAT FALLS PLAZA
City STERLING
State VA
ZIP 20165
Phone 703 421-4020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2023
Certificate Expiration Date 9/28/2025
Facility Type Pharmacy
Lab Director MARWA A. AL MASHTA

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This page was last updated on: 6/4/2025