49D2292709 CLIA NUMBER - WALGREENS 17202

Laboratory Demographics

  • CLIA Code: 49D2292709
  • Facility Name: WALGREENS 17202
  • Facility Address: 4515 DUKE STREET
    ALEXANDRIA, VA
    ZIP 22304
  • Facility Phone: 703 751-4900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TOMMY P. TRAN
  • NPI Number: 1073038022
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2292709
LAB Type Pharmacy
Facility Name WALGREENS 17202
Street 4515 DUKE STREET
City ALEXANDRIA
State VA
ZIP 22304
Phone 703 751-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Pharmacy
Lab Director TOMMY P. TRAN

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