21D2061105 CLIA NUMBER - WALGREENS 13606

Laboratory Demographics

  • CLIA Code: 21D2061105
  • Facility Name: WALGREENS 13606
  • Facility Address: 939 YORK ROAD
    TOWSON, MD
    ZIP 21204
  • Facility Phone: 410 823-8790
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABIMBOLA OWOLABI
  • NPI Number: 1841045648
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2061105
LAB Type Pharmacy
Facility Name WALGREENS 13606
Street 939 YORK ROAD
City TOWSON
State MD
ZIP 21204
Phone 410 823-8790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Pharmacy
Lab Director ABIMBOLA OWOLABI

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