21D2061477 CLIA NUMBER - WALGREENS #11169

Laboratory Demographics

  • CLIA Code: 21D2061477
  • Facility Name: WALGREENS #11169
  • Facility Address: 950 BEARDS HILL ROAD
    ABERDEEN, MD
    ZIP 21001
  • Facility Phone: 410 272-1021
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRATIK C. PATEL
  • NPI Number: 1629224704
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2061477
LAB Type Pharmacy
Facility Name WALGREENS #11169
Street 950 BEARDS HILL ROAD
City ABERDEEN
State MD
ZIP 21001
Phone 410 272-1021
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 PRATIK C. PATEL

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