49D2290732 CLIA NUMBER - WALGREENS 17858

Laboratory Demographics

  • CLIA Code: 49D2290732
  • Facility Name: WALGREENS 17858
  • Facility Address: 18039 DUMFRIES SHOPPING CENTER
    DUMFRIES, VA
    ZIP 22026
  • Facility Phone: 703 221-4220
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RENE D. EFFOE
  • NPI Number: 1083139901
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2290732
LAB Type Pharmacy
Facility Name WALGREENS 17858
Street 18039 DUMFRIES SHOPPING CENTER
City DUMFRIES
State VA
ZIP 22026
Phone 703 221-4220
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 RENE D. EFFOE

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