21D2061195 CLIA NUMBER - WALGREENS #06320

Laboratory Demographics

  • CLIA Code: 21D2061195
  • Facility Name: WALGREENS #06320
  • Facility Address: 2204 NORTH ROLLING ROAD
    BALTIMORE, MD
    ZIP 21244
  • Facility Phone: 410 265-8593
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GHISLAIN K. TCHEMY
  • NPI Number: 1124033303
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2061195
LAB Type Pharmacy
Facility Name WALGREENS #06320
Street 2204 NORTH ROLLING ROAD
City BALTIMORE
State MD
ZIP 21244
Phone 410 265-8593
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 GHISLAIN K. TCHEMY

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