21D2061242 CLIA NUMBER - WALGREENS#10977

Laboratory Demographics

  • CLIA Code: 21D2061242
  • Facility Name: WALGREENS#10977
  • Facility Address: 301 E PULASKI HWY,
    ELKTON, MD
    ZIP 21921
  • Facility Phone: 410 620-1325
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GUNJAN KAMDAR
  • NPI Number: 1427074061
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2061242
LAB Type Pharmacy
Facility Name WALGREENS#10977
Street 301 E PULASKI HWY,
City ELKTON
State MD
ZIP 21921
Phone 410 620-1325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2023
Certificate Expiration Date 9/26/2025
Facility Type Pharmacy
Lab Director GUNJAN KAMDAR

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This page was last updated on: 6/4/2025