21D2061163 CLIA NUMBER - WALGREENS #13840

Laboratory Demographics

  • CLIA Code: 21D2061163
  • Facility Name: WALGREENS #13840
  • Facility Address: 8650 BELAIR ROAD
    NOTTINGHAM, MD
    ZIP 21236
  • Facility Phone: 410 256-1437
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOHAMED ABDELATY
  • NPI Number: 1003661802
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2061163
LAB Type Pharmacy
Facility Name WALGREENS #13840
Street 8650 BELAIR ROAD
City NOTTINGHAM
State MD
ZIP 21236
Phone 410 256-1437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Pharmacy
Lab Director MOHAMED ABDELATY

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