21D2061475 CLIA NUMBER - WALGREENS #07573

Laboratory Demographics

  • CLIA Code: 21D2061475
  • Facility Name: WALGREENS #07573
  • Facility Address: 6301 YORK ROAD
    BALTIMORE, MD
    ZIP 21212
  • Facility Phone: 443 524-4535
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENIFER L. MORSE
  • NPI Number: 1073528261
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2061475
LAB Type Pharmacy
Facility Name WALGREENS #07573
Street 6301 YORK ROAD
City BALTIMORE
State MD
ZIP 21212
Phone 443 524-4535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Pharmacy
Lab Director JENIFER L. MORSE

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