21D2061151 CLIA NUMBER - WALGREENS #07554

Laboratory Demographics

  • CLIA Code: 21D2061151
  • Facility Name: WALGREENS #07554
  • Facility Address: 7901 RITCHIE HWY
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 410 761-3341
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY L. LAND
  • NPI Number: 1346255536
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2061151
LAB Type Pharmacy
Facility Name WALGREENS #07554
Street 7901 RITCHIE HWY
City GLEN BURNIE
State MD
ZIP 21061
Phone 410 761-3341
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Pharmacy
Lab Director KELLY L. LAND

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