49D2290734 CLIA NUMBER - WALGREENS 18101

Laboratory Demographics

  • CLIA Code: 49D2290734
  • Facility Name: WALGREENS 18101
  • Facility Address: 448 S KING ST
    LEESBURG, VA
    ZIP 20175
  • Facility Phone: 703 777-3111
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REZA RAZIAN
  • NPI Number: 1639697873
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2290734
LAB Type Pharmacy
Facility Name WALGREENS 18101
Street 448 S KING ST
City LEESBURG
State VA
ZIP 20175
Phone 703 777-3111
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 REZA RAZIAN

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