49D2293918 CLIA NUMBER - WALGREENS 17535

Laboratory Demographics

  • CLIA Code: 49D2293918
  • Facility Name: WALGREENS 17535
  • Facility Address: 14813 SPOTSWOOD TRL
    ELKTON, VA
    ZIP 22827
  • Facility Phone: 540 298-2234
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREGORY EVANS
  • NPI Number: 1215450218
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2293918
LAB Type Pharmacy
Facility Name WALGREENS 17535
Street 14813 SPOTSWOOD TRL
City ELKTON
State VA
ZIP 22827
Phone 540 298-2234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Pharmacy
Lab Director GREGORY EVANS

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