CLIA lab

CLIA 49D2054210: Walgreens #12167

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

CLIA number 49D2054210 belongs to Walgreens #12167 in Bristow, VA.

Certificate of Waiver, effective March 23, 2025, expires March 22, 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
March 23, 2025
Certificate expiration
March 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 15, 2013
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
49D2054210
Lab name
Walgreens #12167
Address
9150 Dewin Road, Bristow, VA 20136
Phone
(703) 369-2049
Fax
(703) 369-6797

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 #12167 in Bristow?

49D2054210, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #12167 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D2054210 expire?

The CMS file lists March 22, 2027 as the certificate expiration date; the certificate took effect March 23, 2025.

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