09D2289640 CLIA NUMBER - WALGREENS 15953

Laboratory Demographics

  • CLIA Code: 09D2289640
  • Facility Name: WALGREENS 15953
  • Facility Address: 1155 F ST NW
    WASHINGTON, DC
    ZIP 20004
  • Facility Phone: 202 969-8814
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIHITINA YEWONDWOSEN
  • NPI Number: 1629466396
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 09D2289640
LAB Type Pharmacy
Facility Name WALGREENS 15953
Street 1155 F ST NW
City WASHINGTON
State DC
ZIP 20004
Phone 202 969-8814
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Pharmacy
Lab Director TIHITINA YEWONDWOSEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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