21D2061210 CLIA NUMBER - WALGREENS #6396

Laboratory Demographics

  • CLIA Code: 21D2061210
  • Facility Name: WALGREENS #6396
  • Facility Address: 8606 PHILADELPHIA ROAD
    ROSEDALE, MD
    ZIP 21237
  • Facility Phone: 410 238-7705
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIN KANG
  • NPI Number: 1215942495
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2061210
LAB Type Pharmacy
Facility Name WALGREENS #6396
Street 8606 PHILADELPHIA ROAD
City ROSEDALE
State MD
ZIP 21237
Phone 410 238-7705
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 JIN KANG

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