49D2293921 CLIA NUMBER - WALGREENS 17997

Laboratory Demographics

  • CLIA Code: 49D2293921
  • Facility Name: WALGREENS 17997
  • Facility Address: 15748 KINGS HIGHWAY
    MONTROSS, VA
    ZIP 22520
  • Facility Phone: 804 493-9505
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JANEEN M. RICHARDS
  • NPI Number: 1487177341
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2293921
LAB Type Pharmacy
Facility Name WALGREENS 17997
Street 15748 KINGS HIGHWAY
City MONTROSS
State VA
ZIP 22520
Phone 804 493-9505
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 JANEEN M. RICHARDS

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