21D2061219 CLIA NUMBER - WALGREENS #07701

Laboratory Demographics

  • CLIA Code: 21D2061219
  • Facility Name: WALGREENS #07701
  • Facility Address: 7953 CRAIN HWY, S
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 410 969-3417
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAMIKA L. WALKER
  • NPI Number: 1225045305
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2061219
LAB Type Pharmacy
Facility Name WALGREENS #07701
Street 7953 CRAIN HWY, S
City GLEN BURNIE
State MD
ZIP 21061
Phone 410 969-3417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Pharmacy
Lab Director DAMIKA L. WALKER

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: 3/20/2025