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09D2245324 CLIA NUMBER - WALGREENS #19268

Laboratory Demographics

CLIA Number: 09D2245324

Facility Name: WALGREENS #19268

Facility Address:
1401 RHODE ISLAND AVENUE
WASHINGTON, DC
ZIP 20018
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Facility Phone Number: 202 636-3648

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1306360086

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 4
CertificateEffectiveDate 12/10/2023
CertificateExpirationDate 12/9/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024