21D2061157 CLIA NUMBER - WALGREENS #09342

Laboratory Demographics

  • CLIA Code: 21D2061157
  • Facility Name: WALGREENS #09342
  • Facility Address: 1930 PULASKI HWY
    EDGEWOOD, MD
    ZIP 21040
  • Facility Phone: 410 671-6568
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATARRAH M. MCDONALD
  • NPI Number: 1982619177
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2061157
LAB Type Pharmacy
Facility Name WALGREENS #09342
Street 1930 PULASKI HWY
City EDGEWOOD
State MD
ZIP 21040
Phone 410 671-6568
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Pharmacy
Lab Director NATARRAH M. MCDONALD

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