CLIA lab
CLIA 49D2290569: Walgreens 17487
Providence Forge, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D2290569 belongs to Walgreens 17487 in Providence Forge, VA.
Certificate of Waiver, effective September 27, 2025, expires September 26, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 27, 2025
- Certificate expiration
- September 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 27, 2023
- 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
- 49D2290569
- Lab name
- Walgreens 17487
- Address
- 9125 Pocahontas Trail, Providence Forge, VA 23140
- Phone
- (804) 966-2151
- Fax
- (804) 966-5017
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Providence Forge, VA
Related
Questions
What is the CLIA number for Walgreens 17487 in Providence Forge?
49D2290569, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens 17487 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D2290569 expire?
The CMS file lists September 26, 2027 as the certificate expiration date; the certificate took effect September 27, 2025.