09D2290115 CLIA NUMBER - WALGREENS 19076

Laboratory Demographics

  • CLIA Code: 09D2290115
  • Facility Name: WALGREENS 19076
  • Facility Address: 1815 CONNECTICUT AVE NW
    WASHINGTON, DC
    ZIP 20009
  • Facility Phone: (202) 332-1718
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLIVE NWOSU
  • NPI Number: 1437673100
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 09D2290115
LAB Type Pharmacy
Facility Name WALGREENS 19076
Street 1815 CONNECTICUT AVE NW
City WASHINGTON
State DC
ZIP 20009
Phone 2023321718
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Pharmacy
Lab Director OLIVE NWOSU

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This page was last updated on: 5/18/2026