21D2061161 CLIA NUMBER - WALGREENS #09032

Laboratory Demographics

  • CLIA Code: 21D2061161
  • Facility Name: WALGREENS #09032
  • Facility Address: 25 HIGH ST
    WALDORF, MD
    ZIP 20602
  • Facility Phone: 301 932-9826
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TUNG CHIN
  • NPI Number: 1255346441
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2061161
LAB Type Pharmacy
Facility Name WALGREENS #09032
Street 25 HIGH ST
City WALDORF
State MD
ZIP 20602
Phone 301 932-9826
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 TUNG CHIN

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