CLIA lab
CLIA 49D2040058: Walgreens #12361
Chantilly, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D2040058 belongs to Walgreens #12361 in Chantilly, VA.
Certificate of Waiver, effective December 4, 2024, expires December 3, 2026.
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
- December 4, 2024
- Certificate expiration
- December 3, 2026
- 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
- 49D2040058
- Lab name
- Walgreens #12361
- Address
- 25421 Eastern Marketplace Plaza, Chantilly, VA 20152
- Phone
- (703) 327-7817
- Fax
- (703) 327-2618
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 #12361 in Chantilly?
49D2040058, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #12361 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D2040058 expire?
The CMS file lists December 3, 2026 as the certificate expiration date; the certificate took effect December 4, 2024.