21D2061171 CLIA NUMBER - WALGREENS#12266

Laboratory Demographics

  • CLIA Code: 21D2061171
  • Facility Name: WALGREENS#12266
  • Facility Address: 209 N 3RD ST
    OAKLAND, MD
    ZIP 21550
  • Facility Phone: 301 334-1597
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN MAYFIELD
  • NPI Number: 1366674244
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2061171
LAB Type Pharmacy
Facility Name WALGREENS#12266
Street 209 N 3RD ST
City OAKLAND
State MD
ZIP 21550
Phone 301 334-1597
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 RYAN MAYFIELD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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