21D2061193 CLIA NUMBER - WALGREENS, #9926

Laboratory Demographics

  • CLIA Code: 21D2061193
  • Facility Name: WALGREENS, #9926
  • Facility Address: 2016 ROCK SPRING ROAD
    FOREST HILL, MD
    ZIP 21050
  • Facility Phone: 410 638-2404
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN SANDEROFF
  • NPI Number: 1366519753
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2061193
LAB Type Pharmacy
Facility Name WALGREENS, #9926
Street 2016 ROCK SPRING ROAD
City FOREST HILL
State MD
ZIP 21050
Phone 410 638-2404
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 BRIAN SANDEROFF

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