49D2290730 CLIA NUMBER - WALGREENS 17684

Laboratory Demographics

  • CLIA Code: 49D2290730
  • Facility Name: WALGREENS 17684
  • Facility Address: 6100 ROSE HILL DRIVE
    ALEXANDRIA, VA
    ZIP 22310
  • Facility Phone: 703 971-2200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DACHAU DINH
  • NPI Number: 1508381419
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2290730
LAB Type Pharmacy
Facility Name WALGREENS 17684
Street 6100 ROSE HILL DRIVE
City ALEXANDRIA
State VA
ZIP 22310
Phone 703 971-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Pharmacy
Lab Director DACHAU DINH

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