21D2061207 CLIA NUMBER - WALGREENS, #06007

Laboratory Demographics

  • CLIA Code: 21D2061207
  • Facility Name: WALGREENS, #06007
  • Facility Address: 5740 RITCHIE HWY
    BROOKLYN, MD
    ZIP 21225
  • Facility Phone: 410 789-2127
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMICHHYA PAUDEL
  • NPI Number: 1316792237
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2061207
LAB Type Pharmacy
Facility Name WALGREENS, #06007
Street 5740 RITCHIE HWY
City BROOKLYN
State MD
ZIP 21225
Phone 410 789-2127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Pharmacy
Lab Director SAMICHHYA PAUDEL

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