21D2061108 CLIA NUMBER - WALGREENS, #13457

Laboratory Demographics

  • CLIA Code: 21D2061108
  • Facility Name: WALGREENS, #13457
  • Facility Address: 500 MEADOW CREEK DR
    WESTMINSTER, MD
    ZIP 21158
  • Facility Phone: 410 848-0513
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS A. PARK
  • NPI Number: 1386946440
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2061108
LAB Type Pharmacy
Facility Name WALGREENS, #13457
Street 500 MEADOW CREEK DR
City WESTMINSTER
State MD
ZIP 21158
Phone 410 848-0513
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Pharmacy
Lab Director THOMAS A. PARK

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