21D2063336 CLIA NUMBER - WALGREENS #11064

Laboratory Demographics

  • CLIA Code: 21D2063336
  • Facility Name: WALGREENS #11064
  • Facility Address: 21400 ZEEMAN ROAD
    ROCK HALL, MD
    ZIP 21661
  • Facility Phone: 410 639-9140
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOYCELINE ALEMGANG
  • NPI Number: 1053332387
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2063336
LAB Type Pharmacy
Facility Name WALGREENS #11064
Street 21400 ZEEMAN ROAD
City ROCK HALL
State MD
ZIP 21661
Phone 410 639-9140
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 JOYCELINE ALEMGANG

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This page was last updated on: 3/20/2025