09D2245324 CLIA NUMBER - WALGREENS #19268

Laboratory Demographics

  • CLIA Code: 09D2245324
  • Facility Name: WALGREENS #19268
  • Facility Address: 1401 RHODE ISLAND AVENUE
    WASHINGTON, DC
    ZIP 20018
  • Facility Phone: 202 636-3648
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETER MINA
  • NPI Number: 1306360086
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 09D2245324
LAB Type Pharmacy
Facility Name WALGREENS #19268
Street 1401 RHODE ISLAND AVENUE
City WASHINGTON
State DC
ZIP 20018
Phone 202 636-3648
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Pharmacy
Lab Director PETER MINA

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