21D2063333 CLIA NUMBER - WALGREENS #09927

Laboratory Demographics

  • CLIA Code: 21D2063333
  • Facility Name: WALGREENS #09927
  • Facility Address: 735 S SALISBURY BLVD
    SALISBURY, MD
    ZIP 21801
  • Facility Phone: 410 219-5261
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MUNTASIR Y. HASSAN
  • NPI Number: 1689889545
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2063333
LAB Type Pharmacy
Facility Name WALGREENS #09927
Street 735 S SALISBURY BLVD
City SALISBURY
State MD
ZIP 21801
Phone 410 219-5261
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Pharmacy
Lab Director MUNTASIR Y. HASSAN

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