21D2061441 CLIA NUMBER - WALGREENS #11949

Laboratory Demographics

  • CLIA Code: 21D2061441
  • Facility Name: WALGREENS #11949
  • Facility Address: 5585 TWIN KNOLLS ROAD
    COLUMBIA, MD
    ZIP 21045
  • Facility Phone: 410 730-2789
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARA ALIZAI
  • NPI Number: 1528359585
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2061441
LAB Type Pharmacy
Facility Name WALGREENS #11949
Street 5585 TWIN KNOLLS ROAD
City COLUMBIA
State MD
ZIP 21045
Phone 410 730-2789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Pharmacy
Lab Director SARA ALIZAI

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