21D2061445 CLIA NUMBER - WALGREENS#11283

Laboratory Demographics

  • CLIA Code: 21D2061445
  • Facility Name: WALGREENS#11283
  • Facility Address: 1802 MAIN ST
    CHESTER, MD
    ZIP 21619
  • Facility Phone: 410 643-5119
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE A. EVANS
  • NPI Number: 1275554529
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2061445
LAB Type Pharmacy
Facility Name WALGREENS#11283
Street 1802 MAIN ST
City CHESTER
State MD
ZIP 21619
Phone 410 643-5119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Pharmacy
Lab Director STEPHANIE A. EVANS

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