21D2068878 CLIA NUMBER - WALGREENS #15117

Laboratory Demographics

  • CLIA Code: 21D2068878
  • Facility Name: WALGREENS #15117
  • Facility Address: 430 HUNGERFORD DRIVE
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 240 314-0343
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY SMITH
  • NPI Number: 1477992485
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2068878
LAB Type Pharmacy
Facility Name WALGREENS #15117
Street 430 HUNGERFORD DRIVE
City ROCKVILLE
State MD
ZIP 20850
Phone 240 314-0343
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 LINDSAY SMITH

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