CLIA lab

CLIA 49D2039987: Walgreens #10165

Herndon, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 49D2039987 belongs to Walgreens #10165 in Herndon, VA.

Certificate of Waiver, effective April 22, 2025, expires April 21, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
April 22, 2025
Certificate expiration
April 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 20, 2012
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
49D2039987
Lab name
Walgreens #10165
Address
603 Elden Street, Herndon, VA 20170
Phone
(703) 796-6482
Fax
(703) 796-6488

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Walgreens #10165 in Herndon?

49D2039987, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #10165 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D2039987 expire?

The CMS file lists April 21, 2027 as the certificate expiration date; the certificate took effect April 22, 2025.

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