09D2309085 CLIA NUMBER - WALGREENS 17712

Laboratory Demographics

  • CLIA Code: 09D2309085
  • Facility Name: WALGREENS 17712
  • Facility Address: 1306 U ST NW
    WASHINGTON, DC
    ZIP 20009
  • Facility Phone: 202 328-8761
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALRUBAYE Q. HAYDER
  • NPI Number: 1831614585
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 09D2309085
LAB Type Pharmacy
Facility Name WALGREENS 17712
Street 1306 U ST NW
City WASHINGTON
State DC
ZIP 20009
Phone 202 328-8761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Pharmacy
Lab Director ALRUBAYE Q. HAYDER

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