21D2063334 CLIA NUMBER - WALGREENS #12130

Laboratory Demographics

  • CLIA Code: 21D2063334
  • Facility Name: WALGREENS #12130
  • Facility Address: 909 MT HERMON ROAD
    SALISBURY, MD
    ZIP 21804
  • Facility Phone: 410 334-2194
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARWA GABIR
  • NPI Number: 1487999298
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2063334
LAB Type Pharmacy
Facility Name WALGREENS #12130
Street 909 MT HERMON ROAD
City SALISBURY
State MD
ZIP 21804
Phone 410 334-2194
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Pharmacy
Lab Director MARWA GABIR

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